| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.63 | $229.63 | $229.63 | |
Aetna
| Professional | $229.63 | $229.63 | $1,096.79 | |
BCBS
| Facility | $534.44 | $702.94 | $1,359.70 | |
Medica
| Facility | $229.63 | $378.58 | $459.26 | |
Medica
| Professional | $761.40 | $761.40 | $761.40 | |
Midlands
| Facility | $681.18 | $700.17 | $700.17 | |
Midlands
| Professional | $618.54 | $662.82 | $700.17 |