| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $3,162.28 | $8,511.38 | |
BCBS
| Facility | $9,772.37 | $12,589.25 | $24,547.09 | |
Medica
| Facility | $295.12 | $1,584.89 | $5,754.40 | |
Midlands
| Professional | $616.60 | $2,344.23 | $3,162.28 | |
United
| Facility | $3,630.78 | $5,370.32 | $8,128.31 |