| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.01 | $260.01 | $260.01 | |
Aetna
| Professional | $260.01 | $411.25 | $411.25 | |
Medica
| Facility | $372.41 | $695.01 | $1,126.83 | |
Midlands
| Facility | $3,351.47 | $3,351.47 | $3,910.04 |