| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.92 | $366.30 | $439.66 | |
Aetna
| Professional | $213.75 | $490.86 | $490.86 | |
BCBS
| Facility | $304.32 | $461.72 | $809.59 | |
Medica
| Facility | $235.40 | $479.12 | $657.38 | |
Medica
| Professional | $191.25 | $427.50 | $540.00 |