| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $371.54 | $707.95 | |
Aetna
| Professional | $147.91 | $186.21 | $229.09 | |
BCBS
| Professional | $208.93 | $208.93 | $208.93 | |
Medica
| Facility | $147.91 | $190.55 | $275.42 | |
Medica
| Professional | $186.21 | $208.93 | $302.00 | |
United
| Facility | $177.83 | $199.53 | $380.19 | |
United
| Professional | $186.21 | $208.93 | $275.42 |