| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $63.28 | $69.29 | |
Aetna
| Professional | $63.28 | $69.29 | $76.62 | |
BCBS
| Facility | $372.29 | $437.99 | $522.20 | |
Medica
| Facility | $63.28 | $69.29 | $121.26 | |
Medica
| Professional | $272.97 | $272.97 | $272.97 | |
Midlands
| Professional | $88.34 | $94.66 | $99.68 |