| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $132.03 | |
BCBS
| Facility | $96.38 | $336.00 | $383.71 | |
BCBS
| Professional | $306.97 | $372.20 | $383.71 | |
Medica
| Facility | $52.36 | $83.59 | $118.30 | |
Medica
| Professional | $259.38 | $259.38 | $259.38 |