| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $308.72 | $333.97 | $620.86 | |
BCBS
| Facility | $536.00 | $2,104.46 | $3,506.78 | |
BCBS
| Professional | $448.90 | $536.00 | $623.10 | |
Medica
| Facility | $455.42 | $455.42 | $678.27 | |
Medica
| Professional | $837.48 | $837.48 | $837.48 |