| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $1,500.00 | |
BCBS
| Facility | $2,283.75 | $8,400.00 | $13,739.25 | |
BCBS
| Professional | $1,172.54 | $1,563.38 | $1,954.23 | |
Medica
| Facility | $36.00 | $1,500.00 | $3,045.00 |