| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
BCBS
| Facility | $6,526.36 | $8,583.94 | $16,604.12 | |
Medica
| Facility | $13.34 | $28.16 | $116.11 | |
Midlands
| Facility | $104.54 | $132.41 | $167.95 |