| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.83 | $308.83 | $308.83 | |
Aetna
| Professional | $270.06 | $308.83 | $316.64 | |
BCBS
| Facility | $861.67 | $2,563.89 | $5,175.62 | |
BCBS
| Professional | $703.40 | $879.25 | $879.25 | |
Medica
| Facility | $496.76 | $633.92 | $3,500.00 | |
Medica
| Professional | $458.54 | $859.17 | $1,847.51 | |
United
| Facility | $1,751.00 | $3,500.00 | $8,152.00 | |
United
| Professional | $435.46 | $685.08 | $1,348.49 |