| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.78 | $27.78 | $27.78 | |
Aetna
| Professional | $27.78 | $27.78 | $27.78 | |
BCBS
| Facility | $494.41 | $650.28 | $1,257.85 | |
Medica
| Facility | $25.00 | $46.11 | $61.71 | |
Midlands
| Facility | $55.56 | $70.38 | $89.27 |