| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,653.00 | $4,778.89 | $13,841.56 | |
BCBS
| Facility | $9,732.29 | $13,189.77 | $24,760.56 | |
Medica
| Facility | $297.50 | $1,592.34 | $4,293.37 | |
Midlands
| Facility | $610.05 | $2,364.62 | $3,310.62 | |
United
| Facility | $4,217.00 | $6,451.00 | $7,934.00 |