| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,915.48 | $2,719.98 | $10,286.10 | |
Aetna
| Professional | $81.50 | $1,249.81 | $2,107.03 | |
BCBS
| Professional | $46.26 | $52.87 | $66.09 | |
Medica
| Facility | $162.41 | $1,249.81 | $5,622.32 | |
Medica
| Professional | $157.74 | $195.98 | $6,299.47 | |
United
| Professional | $152.96 | $181.64 | $373.80 |