| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.43 | $412.43 | $2,212.14 | |
Aetna
| Professional | $224.21 | $412.43 | $429.48 | |
BCBS
| Facility | $1,935.29 | $3,016.92 | $4,722.57 | |
Medica
| Facility | $412.43 | $412.43 | $494.92 | |
Medica
| Professional | $168.32 | $168.32 | $168.32 |