| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,751.72 | $1,751.72 | $1,751.72 | |
Medica
| Facility | $1,751.72 | $1,751.72 | $2,977.92 | |
Medica
| Professional | $2,411.21 | $2,411.21 | $2,411.21 | |
Midlands
| Professional | $2,338.19 | $2,338.19 | $2,685.41 |