| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $448.06 | $607.24 | $1,139.94 | |
Medica
| Professional | $105.15 | $105.15 | $105.15 | |
Midlands
| Facility | $113.25 | $113.25 | $113.25 | |
Midlands
| Professional | $113.25 | $113.25 | $113.25 |