| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.75 | $70.14 | $103.21 | |
BCBS
| Facility | $84.49 | $84.49 | $92.94 | |
BCBS
| Professional | $52.39 | $52.39 | $62.55 | |
Medica
| Facility | $49.88 | $68.06 | $113.53 | |
Medica
| Professional | $60.00 | $72.00 | $430.27 | |
United
| Professional | $58.22 | $68.01 | $112.60 |