| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,338.00 | $4,338.00 | $4,937.00 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
Medica
| Facility | $21,671.04 | $25,611.22 | $41,523.51 | |
Midlands
| Facility | $17,378.74 | $17,809.79 | $24,526.62 | |
United
| Facility | $5,357.00 | $5,357.00 | $5,357.00 |