| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,073.00 | $3,073.00 | $4,338.00 | |
Aetna
| Professional | $532.17 | $532.17 | $532.17 | |
Medica
| Facility | $532.17 | $899.38 | $1,458.17 | |
Midlands
| Facility | $492.44 | $574.51 | $791.18 | |
United
| Facility | $821.00 | $821.00 | $821.00 |