| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.61 | $328.61 | $328.61 | |
BCBS
| Facility | $5,562.00 | $7,416.94 | $12,345.38 | |
BCBS
| Professional | $480.74 | $565.58 | $565.58 | |
Medica
| Facility | $273.83 | $5,134.00 | $17,464.00 | |
Medica
| Professional | $490.00 | $490.00 | $490.00 |