| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.43 | $158.22 | $598.38 | |
Aetna
| Professional | $36.65 | $89.38 | $122.57 | |
BCBS
| Professional | $46.26 | $52.87 | $66.09 | |
Medica
| Facility | $60.20 | $105.18 | $2,489.36 | |
Medica
| Professional | $69.12 | $88.18 | $463.54 | |
United
| Professional | $66.95 | $79.92 | $144.72 |