| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.00 | $575.94 | $700.70 | |
Aetna
| Professional | $425.00 | $425.00 | $425.00 | |
BCBS
| Facility | $650.32 | $881.35 | $1,654.52 | |
Medica
| Facility | $402.69 | $637.50 | $765.00 | |
Midlands
| Facility | $195.42 | $228.78 | $313.97 |