| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $53.70 | $63.10 | |
BCBS
| Facility | $51.29 | $165.96 | $245.47 | |
BCBS
| Professional | $42.66 | $51.29 | $97.72 | |
Medica
| Facility | $47.86 | $79.43 | $125.89 | |
Medica
| Professional | $48.98 | $67.61 | $338.84 | |
United
| Facility | $53.70 | $77.62 | $77.62 | |
United
| Professional | $48.98 | $60.26 | $107.15 |