| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.87 | $241.87 | $241.87 | |
Aetna
| Professional | $211.77 | $241.87 | $248.26 | |
BCBS
| Facility | $430.84 | $439.63 | $932.67 | |
BCBS
| Professional | $351.70 | $439.63 | $439.63 | |
Medica
| Facility | $389.05 | $496.48 | $3,500.00 | |
Medica
| Professional | $359.54 | $673.62 | $1,448.52 | |
United
| Facility | $1,751.00 | $3,500.00 | $8,152.00 | |
United
| Professional | $323.64 | $569.75 | $1,057.33 |