| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.98 | $90.98 | $90.98 | |
BCBS
| Facility | $271.08 | $356.55 | $689.68 | |
Medica
| Facility | $116.00 | $179.40 | $1,775.00 | |
Midlands
| Facility | $181.49 | $222.52 | $255.22 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |