| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.58 | $515.34 | $1,394.98 | |
Aetna
| Professional | $262.22 | $290.18 | $297.18 | |
BCBS
| Facility | $144.72 | $549.59 | $870.62 | |
BCBS
| Professional | $192.29 | $279.70 | $1,354.78 | |
Medica
| Facility | $234.25 | $349.62 | $630.94 | |
Medica
| Professional | $146.84 | $146.84 | $1,748.10 | |
United
| Professional | $146.84 | $146.84 | $209.77 |