| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.59 | $4,241.22 | $13,841.56 | |
BCBS
| Facility | $1,455.14 | $2,109.54 | $3,702.11 | |
Medica
| Facility | $68.41 | $131.08 | $267.52 | |
Midlands
| Facility | $101.90 | $188.92 | $302.58 |