| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Facility | $61.20 | $221.09 | $399.71 | |
BCBS
| Professional | $153.00 | $204.00 | $277.95 | |
Medica
| Facility | $350.00 | $350.00 | $385.00 | |
Medica
| Professional | $350.00 | $350.00 | $350.00 |