| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.29 | $8,477.27 | $20,928.72 | |
BCBS
| Facility | $11,766.83 | $15,476.59 | $29,936.73 | |
Medica
| Facility | $153.29 | $283.58 | $2,806.16 | |
Medica
| Facility | AS | $42.42 | $79.33 | $79.33 |
Midlands
| Facility | $205.48 | $382.00 | $545.40 | |
United
| Facility | $3,126.00 | $4,317.00 | $7,856.00 |