| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.36 | $398.36 | $8,500.00 | |
BCBS
| Professional | 50 | $1,208.24 | $1,326.00 | $1,566.68 |
Medica
| Facility | $398.36 | $445.70 | $1,195.08 | |
Medica
| Facility | 50 | $6,620.55 | $6,620.55 | $6,620.55 |