| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $3,801.89 | $12,589.25 | |
BCBS
| Facility | $9,772.37 | $12,589.25 | $24,547.09 | |
Medica
| Facility | $380.19 | $724.44 | $7,943.28 | |
Midlands
| Professional | $776.25 | $954.99 | $1,202.26 | |
United
| Facility | $2,691.53 | $7,079.46 | $12,589.25 |