| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.96 | $171.96 | $171.96 | |
Aetna
| Professional | $171.96 | $171.96 | $332.76 | |
BCBS
| Facility | $351.14 | $461.85 | $893.37 | |
Medica
| Facility | $171.96 | $290.61 | $343.92 | |
Medica
| Professional | $491.40 | $491.40 | $491.40 | |
Midlands
| Facility | $463.35 | $476.80 | $476.80 | |
Midlands
| Professional | $420.75 | $450.86 | $476.80 |