| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.06 | $125.23 | $181.51 | |
BCBS
| Professional | $139.80 | $186.40 | $233.00 | |
Medica
| Facility | $118.78 | $152.81 | $249.59 | |
Medica
| Professional | $887.69 | $887.69 | $887.69 |