| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,988.95 | $4,988.95 | $4,988.95 | |
BCBS
| Facility | $9,438.52 | $9,438.52 | $9,438.52 | |
Medica
| Facility | $342.86 | $553.72 | $825.69 | |
Midlands
| Facility | $626.00 | $848.61 | $2,486.50 |