| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $104.22 | |
BCBS
| Facility | $6,526.36 | $8,583.94 | $16,604.12 | |
Medica
| Facility | $93.80 | $198.02 | $271.27 | |
Midlands
| Facility | $244.26 | $293.11 | $392.44 |