| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.31 | $8,477.27 | $20,928.72 | |
BCBS
| Facility | $7,860.00 | $10,338.04 | $19,997.13 | |
Medica
| Facility | $76.31 | $133.54 | $1,242.00 | |
Medica
| Facility | AS | $15.19 | $38.45 | $38.45 |
Midlands
| Facility | $100.26 | $133.99 | $205.91 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |