| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Facility | $101.23 | $101.23 | $101.23 | |
Medica
| Facility | $25.00 | $25.00 | $42.50 | |
Medica
| Professional | $25.00 | $25.00 | $25.00 | |
Midlands
| Professional | $67.84 | $67.84 | $84.07 |