| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.78 | $1,467.14 | $2,267.03 | |
Aetna
| Professional | $532.50 | $532.50 | $532.50 | |
BCBS
| Professional | $887.50 | $887.50 | $887.50 | |
Medica
| Facility | $568.00 | $710.00 | $955.17 | |
Medica
| Professional | $298.20 | $426.00 | $3,535.80 | |
United
| Professional | $298.20 | $426.00 | $1,136.00 |