| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.03 | $85.03 | $85.03 | |
Aetna
| Professional | $85.03 | $85.03 | $197.44 | |
Anthem BCBS
| Professional | $6.00 | $7.30 | $500.00 | |
Medica
| Facility | $157.94 | $184.80 | $353.81 | |
Medica
| Professional | $631.91 | $631.91 | $631.91 |