| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.41 | $2,015.11 | $3,951.31 | |
Aetna
| Professional | $617.41 | $617.41 | $617.41 | |
BCBS
| Professional | $68.84 | $68.84 | $68.84 | |
Medica
| Facility | $617.41 | $642.36 | $871.93 | |
Medica
| Professional | $1,031.02 | $1,031.02 | $1,031.02 |