| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.22 | $305.58 | $794.51 | |
Aetna
| Professional | $164.00 | $180.22 | $185.20 | |
BCBS
| Professional | $233.05 | $233.05 | $233.05 | |
Medica
| Facility | $148.62 | $189.21 | $276.30 | |
Medica
| Professional | $186.02 | $209.13 | $317.27 | |
United
| Professional | $186.02 | $208.24 | $317.27 |