| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $369.68 | $369.68 | $8,802.04 | |
Medica
| Facility | $624.76 | $1,012.92 | $17,604.08 | |
Midlands
| Professional | $4,296.89 | $4,296.89 | $4,296.89 | |
Wellmark
| Professional | $2,788.02 | $2,788.02 | $2,788.02 |