| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.00 | $116.00 | $184.67 | |
Aetna
| Professional | $116.00 | $116.00 | $120.35 | |
Anthem BCBS
| Professional | $45.00 | $50.53 | $63.00 | |
Medica
| Facility | $116.00 | $133.40 | $241.28 | |
Medica
| Professional | $319.00 | $319.00 | $319.00 |