| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.45 | $316.45 | $316.45 | |
Aetna
| Professional | $316.45 | $320.18 | $341.55 | |
BCBS
| Professional | $523.00 | $523.00 | $523.00 | |
Medica
| Facility | $316.45 | $336.19 | $671.15 | |
Medica
| Professional | $352.61 | $583.80 | $2,436.69 |