| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $7,943.28 | $14,454.40 | |
BCBS
| Facility | $7,585.78 | $10,000.00 | $19,498.45 | |
Medica
| Facility | $165.96 | $323.59 | $7,943.28 | |
Medica
| Facility | AS | $67.61 | $67.61 | $67.61 |
Midlands
| Professional | $323.59 | $338.84 | $467.74 | |
United
| Facility | $3,235.94 | $4,570.88 | $13,803.84 |