| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.69 | $133.69 | $8,500.00 | |
Aetna
| Professional | $133.69 | $133.69 | $249.32 | |
BCBS
| Professional | $113.23 | $136.13 | $149.27 | |
Medica
| Facility | $133.69 | $227.27 | $401.07 | |
Medica
| Professional | $209.42 | $357.49 | $458.62 | |
United
| Professional | $214.87 | $380.76 | $458.62 |