| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,241.22 | $10,431.19 | $20,928.72 | |
BCBS
| Facility | $6,416.80 | $8,696.41 | $16,325.39 | |
Medica
| Facility | $254.52 | $414.22 | $4,317.00 | |
Medica
| Facility | AS | $120.05 | $120.05 | $120.05 |
Midlands
| Facility | $452.00 | $581.61 | $822.79 | |
United
| Facility | $3,054.00 | $4,317.00 | $13,909.00 |