| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $124.00 | $124.00 | |
Aetna
| Professional | $88.76 | $88.76 | $1,323.35 | |
BCBS
| Facility | $111.85 | $231.82 | $596.14 | |
BCBS
| Professional | $89.48 | $111.85 | $111.85 | |
Medica
| Facility | $88.76 | $705.33 | $967.78 |