| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,730.00 | $2,730.00 | $2,730.00 | |
Aetna
| Professional | $1,560.41 | $1,560.41 | $1,560.41 | |
Medica
| Facility | $2,231.39 | $2,637.09 | $3,120.82 | |
Midlands
| Facility | $437.69 | $510.63 | $1,313.92 |