| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $269.15 | $269.15 | |
Aetna
| Professional | $123.03 | $204.17 | $269.15 | |
Anthem BCBS
| Professional | $144.54 | $190.55 | $257.04 | |
Medica
| Facility | $190.55 | $281.84 | $851.14 | |
Medica
| Professional | $1,318.26 | $1,318.26 | $1,318.26 |