| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $43.65 | $51.29 | $74.13 | |
BCBS
| Professional | $102.33 | $102.33 | $102.33 | |
Medica
| Facility | $38.90 | $58.88 | $87.10 | |
Medica
| Professional | $354.81 | $354.81 | $354.81 |