| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.60 | $45.60 | $60.00 | |
BCBS
| Facility | $687.55 | $2,483.78 | $4,490.57 | |
BCBS
| Professional | $1,718.88 | $2,291.84 | $3,122.63 | |
Medica
| Facility | $45.60 | $45.60 | $60.00 | |
Medica
| Professional | $57.00 | $57.00 | $57.00 |