| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.06 | $53.03 | $776.64 | |
BCBS
| Facility | $10.80 | $39.02 | $70.54 | |
BCBS
| Professional | $27.00 | $36.00 | $49.05 | |
Medica
| Facility | $47.06 | $53.03 | $268.66 | |
Medica
| Professional | $105.00 | $105.00 | $105.00 |