| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.31 | $243.31 | $282.07 | |
Aetna
| Professional | $224.21 | $412.43 | $416.40 | |
BCBS
| Facility | $64.80 | $254.42 | $423.95 | |
BCBS
| Professional | $54.27 | $64.80 | $75.33 | |
Medica
| Facility | $292.04 | $377.94 | $505.06 | |
Medica
| Professional | $168.32 | $168.32 | $168.32 |