| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $3,801.89 | $12,589.25 | |
BCBS
| Facility | $891.25 | $1,174.90 | $2,290.87 | |
Medica
| Facility | $56.23 | $97.72 | $1,230.27 | |
Medica
| Facility | AS | $19.95 | $19.95 | $19.95 |
Midlands
| Professional | $97.72 | $141.25 | $208.93 | |
United
| Facility | $1,096.48 | $1,548.82 | $4,570.88 |