| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.52 | $239.52 | $239.52 | |
BCBS
| Facility | $3,905.00 | $5,205.29 | $8,669.43 | |
BCBS
| Professional | $399.06 | $469.48 | $469.48 | |
Medica
| Facility | $199.60 | $4,786.00 | $14,946.00 | |
Medica
| Professional | $420.00 | $420.00 | $420.00 |