| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $892.92 | $5,463.36 | $13,841.56 | |
BCBS
| Facility | $11,766.83 | $15,476.59 | $29,936.73 | |
Medica
| Facility | $286.67 | $501.67 | $1,525.91 | |
Medica
| Facility | AS | $79.81 | $152.59 | $152.59 |
Midlands
| Facility | $380.83 | $733.61 | $1,030.31 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |