| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.86 | $196.40 | $228.74 | |
BCBS
| Professional | $119.40 | $159.19 | $199.00 | |
Medica
| Facility | $159.31 | $223.18 | $426.19 | |
Medica
| Professional | $1,328.36 | $1,328.36 | $1,328.36 |