| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.64 | $3,795.64 | $13,841.56 | |
BCBS
| Facility | $7,828.40 | $10,296.48 | $19,916.72 | |
Medica
| Facility | $221.64 | $376.79 | $3,379.46 | |
Medica
| Facility | 62 | $385.46 | $735.14 | $735.14 |
Medica
| Facility | AS | $61.67 | $117.62 | $117.62 |
Midlands
| Facility | $445.08 | $565.49 | $794.64 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |