| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $223.87 | |
Aetna
| Professional | $223.87 | $245.47 | $338.84 | |
BCBS
| Professional | $269.15 | $269.15 | $269.15 | |
Medica
| Facility | $223.87 | $234.42 | $501.19 | |
Medica
| Professional | $234.42 | $426.58 | $1,698.24 |