| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $2,043.10 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
Anthem BCBS
| Professional | $14.86 | $16.76 | $85.00 | |
Medica
| Facility | $70.00 | $74.20 | $140.00 | |
Medica
| Professional | $259.38 | $259.38 | $259.38 |