| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,506.15 | $5,463.36 | $13,841.56 | |
BCBS
| Facility | $898.23 | $1,181.41 | $2,285.23 | |
Medica
| Facility | $93.81 | $184.29 | $1,242.00 | |
Medica
| Facility | AS | $40.57 | $40.57 | $40.57 |
Midlands
| Facility | $195.05 | $252.62 | $364.98 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |