| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.42 | $23.42 | $23.42 | |
BCBS
| Facility | $330.78 | $435.06 | $841.55 | |
Medica
| Facility | $29.86 | $263.05 | $4,406.00 | |
Midlands
| Facility | $46.08 | $103.05 | $352.38 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |