| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $529.69 | $614.44 | $755.69 | |
BCBS
| Professional | $882.81 | $882.81 | $882.81 | |
Medica
| Facility | $565.00 | $705.55 | $950.13 | |
Medica
| Professional | $317.81 | $423.75 | $3,517.13 | |
United
| Professional | $317.81 | $423.75 | $1,059.38 |