| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.63 | $229.63 | $1,096.79 | |
BCBS
| Facility | $14.55 | $57.13 | $95.21 | |
Medica
| Facility | $229.63 | $1,096.79 | $1,568.41 | |
Medica
| Professional | $761.40 | $761.40 | $761.40 |