| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.04 | $111.04 | $2,935.23 | |
Aetna
| Professional | $106.65 | $111.04 | $360.00 | |
Health Partners
| Professional | $231.47 | $231.47 | $231.47 | |
Medica
| Facility | $106.65 | $111.04 | $248.48 |