| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,338.00 | $4,338.00 | $4,937.00 | |
Aetna
| Professional | $16,536.72 | $16,536.72 | $16,536.72 | |
Medica
| Facility | $23,647.51 | $27,947.06 | $45,310.61 | |
Midlands
| Facility | $11,375.77 | $16,879.11 | $22,961.15 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |