| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,653.00 | $5,463.36 | $13,841.56 | |
BCBS
| Facility | $898.23 | $1,181.41 | $2,285.23 | |
Medica
| Facility | $380.58 | $796.81 | $2,062.32 | |
Midlands
| Facility | $617.59 | $894.00 | $1,341.79 | |
United
| Facility | $1,775.00 | $3,227.00 | $6,169.00 |