| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.79 | $38.79 | $38.79 | |
Aetna
| Professional | $33.54 | $39.25 | $48.32 | |
BCBS
| Professional | $65.00 | $65.00 | $65.00 | |
Medica
| Facility | $38.79 | $43.95 | $73.45 | |
Medica
| Professional | $44.84 | $75.62 | $314.82 |