| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.32 | $450.32 | $450.32 | |
Aetna
| Professional | $343.76 | $345.63 | $450.32 | |
BCBS
| Professional | $860.18 | $860.18 | $860.18 | |
Medica
| Facility | $329.16 | $387.12 | $463.14 | |
Medica
| Professional | $2,390.37 | $2,390.37 | $2,390.37 |