| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,338.00 | $4,338.00 | $4,338.00 | |
Aetna
| Professional | $15,443.64 | $15,443.64 | $15,443.64 | |
Medica
| Facility | $6,571.00 | $26,099.75 | $42,315.57 | |
Midlands
| Facility | $18,745.88 | $18,745.88 | $21,870.19 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |