| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.76 | $45.76 | $45.76 | |
Aetna
| Professional | $45.76 | $45.76 | $45.76 | |
BCBS
| Facility | $494.41 | $650.28 | $1,257.85 | |
Medica
| Facility | $41.18 | $86.94 | $940.43 | |
Midlands
| Facility | $574.89 | $846.75 | $1,360.45 |