| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $338.84 | $338.84 | |
BCBS
| Professional | $501.19 | $512.86 | $707.95 | |
Medica
| Facility | $102.33 | $158.49 | $338.84 | |
Medica
| Professional | $83.18 | $123.03 | $776.25 | |
United
| Professional | $83.18 | $123.03 | $138.04 |