| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.39 | $320.39 | $320.39 | |
Aetna
| Professional | $253.18 | $320.39 | $320.39 | |
BCBS
| Facility | $1,935.29 | $3,005.71 | $4,765.84 | |
Medica
| Facility | $320.39 | $320.39 | $387.68 | |
Medica
| Professional | $284.89 | $284.89 | $284.89 |