| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $51.12 | $51.12 | |
Aetna
| Professional | $51.12 | $51.12 | $51.12 | |
BCBS
| Facility | $494.41 | $650.28 | $1,257.85 | |
Medica
| Facility | $46.01 | $86.37 | $115.59 | |
Midlands
| Facility | $97.56 | $115.30 | $167.21 | |
United
| Facility | $55.50 | $55.50 | $59.45 |