| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $249.50 | $249.50 | $249.50 | |
BCBS
| Facility | $1.00 | $9,238.04 | $33,458.26 | |
BCBS
| Professional | $248.10 | $310.13 | $310.13 | |
Medica
| Facility | $248.19 | $7,527.00 | $21,528.00 |