| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $342.30 | $342.30 | $342.30 | |
BCBS
| Facility | $1.00 | $9,238.04 | $33,458.26 | |
BCBS
| Professional | $248.10 | $310.13 | $310.13 | |
Medica
| Facility | $258.16 | $5,913.00 | $12,051.00 |