| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.33 | $227.33 | $227.33 | |
Aetna
| Professional | $227.33 | $227.33 | $230.00 | |
BCBS
| Professional | $353.00 | $353.00 | $353.00 | |
Medica
| Facility | $164.22 | $238.70 | $279.62 | |
Medica
| Professional | $164.22 | $437.57 | $1,750.16 |