| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.84 | $424.84 | $8,500.00 | |
Aetna
| Professional | $243.24 | $424.84 | $424.84 | |
BCBS
| Professional | $575.82 | $580.14 | $682.52 | |
Medica
| Facility | $352.40 | $424.84 | $1,274.52 |