| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.59 | $8,477.27 | $20,928.72 | |
BCBS
| Facility | $11,766.83 | $15,476.59 | $29,936.73 | |
Medica
| Facility | $251.59 | $440.28 | $4,317.00 | |
Medica
| Facility | AS | $69.92 | $133.22 | $133.22 |
Midlands
| Facility | $332.39 | $640.46 | $903.10 | |
United
| Facility | $3,054.00 | $4,317.00 | $13,909.00 |