| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.32 | $249.32 | $249.32 | |
Aetna
| Professional | $178.29 | $249.32 | $249.32 | |
BCBS
| Facility | $1,809.17 | $2,744.91 | $4,812.95 | |
Medica
| Facility | $373.17 | $476.12 | $3,144.95 | |
Medica
| Professional | $248.05 | $412.19 | $711.38 | |
United
| Professional | $265.24 | $399.19 | $670.86 |