| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.50 | $1,440.00 | $3,736.00 | |
Aetna
| Professional | $299.74 | $299.74 | $454.77 | |
BCBS
| Facility | $42.10 | $166.28 | $275.41 | |
BCBS
| Professional | $88.59 | $118.12 | $147.65 | |
Medica
| Facility | $299.74 | $454.77 | $650.32 | |
Medica
| Professional | $151.00 | $1,007.50 | $1,047.80 |