| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.03 | $131.19 | $278.77 | |
BCBS
| Facility | $41.60 | $163.33 | $272.17 | |
BCBS
| Professional | $34.84 | $41.60 | $48.36 | |
Medica
| Facility | $157.94 | $166.47 | $278.77 | |
Medica
| Professional | $631.91 | $631.91 | $631.91 |