| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.28 | $171.51 | $224.00 | |
BCBS
| Professional | $358.40 | $409.60 | $512.00 | |
Medica
| Facility | $171.51 | $214.38 | $1,075.93 | |
Medica
| Professional | $1,066.36 | $1,066.36 | $1,066.36 |