| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,399.57 | $11,399.57 | $11,399.57 | |
Medica
| Facility | $2,714.00 | $2,714.00 | $2,714.00 | |
Midlands
| Facility | $14,326.60 | $14,326.60 | $14,326.60 | |
United
| Facility | $2,714.00 | $2,714.00 | $2,714.00 |