| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.22 | $226.22 | $226.22 | |
Aetna
| Professional | $226.22 | $226.22 | $226.22 | |
BCBS
| Facility | $494.41 | $650.28 | $1,257.85 | |
Medica
| Facility | $203.60 | $429.82 | $1,422.05 | |
Midlands
| Facility | $513.59 | $624.55 | $825.16 |