| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.32 | $112.32 | $112.32 | |
Aetna
| Professional | $78.12 | $112.32 | $130.69 | |
Ambetter
| Professional | $30.56 | $30.56 | $30.56 | |
BCBS
| Facility | $439.90 | $517.53 | $617.03 | |
Medica
| Facility | $106.35 | $112.32 | $202.18 | |
Midlands
| Professional | $204.17 | $204.17 | $204.17 |