| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.45 | $548.37 | $1,762.25 | |
Aetna
| Professional | $116.00 | $117.45 | $123.25 | |
BCBS
| Facility | $117.66 | $277.98 | $687.45 | |
BCBS
| Professional | $828.69 | $1,019.93 | $2,409.58 | |
Medica
| Facility | $117.45 | $129.19 | $238.42 | |
Medica
| Professional | $319.00 | $319.00 | $319.00 |