| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.78 | $722.46 | $1,116.33 | |
Aetna
| Professional | $262.22 | $262.22 | $349.62 | |
BCBS
| Professional | $356.61 | $356.61 | $356.61 | |
Medica
| Facility | $279.70 | $349.62 | $470.34 | |
Medica
| Professional | $146.84 | $209.77 | $1,748.10 | |
United
| Facility | $209.77 | $209.77 | $349.62 | |
United
| Professional | $146.84 | $209.77 | $559.39 |