| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.96 | $540.96 | $540.96 | |
Aetna
| Professional | $540.96 | $540.96 | $876.05 | |
BCBS
| Facility | $1,935.29 | $3,005.71 | $4,765.84 | |
Medica
| Facility | $542.08 | $542.08 | $677.60 | |
Medica
| Professional | $1,274.40 | $1,274.40 | $1,274.40 |