| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141,253.75 | $194,984.46 | $251,188.64 | |
Medica
| Facility | $107,151.93 | $204,173.79 | $288,403.15 | |
Midlands
| Facility | $114,815.36 | $181,970.09 | $257,039.58 | |
United
| Facility | $95,499.26 | $204,173.79 | $288,403.15 |