| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $725.00 | $725.00 | $725.00 | |
BCBS
| Facility | $5,562.00 | $7,416.94 | $17,264.38 | |
BCBS
| Professional | $442.99 | $521.16 | $521.16 | |
Medica
| Facility | $604.16 | $5,134.00 | $17,464.00 | |
Medica
| Professional | $630.00 | $630.00 | $630.00 |