| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
BCBS
| Facility | $62.40 | $247.81 | $408.25 | |
BCBS
| Professional | $58.50 | $78.00 | $119.44 | |
Medica
| Facility | $50.85 | $70.00 | $112.70 | |
Medica
| Professional | $259.38 | $259.38 | $259.38 |