| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.38 | $184.38 | $184.38 | |
Aetna
| Professional | $184.38 | $184.38 | $184.38 | |
BCBS
| Facility | $494.41 | $650.28 | $1,257.85 | |
Medica
| Facility | $165.94 | $350.32 | $1,446.58 | |
Midlands
| Facility | $447.00 | $1,302.50 | $2,040.58 |