| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,361.80 | $2,200.00 | $2,200.00 | |
BCBS
| Facility | $83.79 | $318.20 | $504.09 | |
BCBS
| Professional | $67.98 | $90.65 | $439.08 | |
Medica
| Facility | $100.00 | $100.00 | $1,361.80 |