| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $186.21 | $426.58 | |
Aetna
| Professional | $91.20 | $91.20 | $93.33 | |
BCBS
| Facility | $18.62 | $60.26 | $89.13 | |
BCBS
| Professional | $23.99 | $26.92 | $46.77 | |
Medica
| Facility | $91.20 | $120.23 | $186.21 | |
Medica
| Professional | $537.03 | $537.03 | $537.03 |