| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $267.66 | $273.75 | $349.56 | |
BCBS
| Professional | $225.00 | $300.00 | $375.00 | |
Medica
| Facility | $267.66 | $319.06 | $579.41 | |
Medica
| Professional | $1,905.62 | $1,905.62 | $1,905.62 |