| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.45 | $78.45 | $78.45 | |
Aetna
| Professional | $64.64 | $78.45 | $78.45 | |
BCBS
| Facility | $8,688.62 | $13,182.53 | $23,114.40 | |
Medica
| Facility | $132.58 | $3,553.65 | $5,269.20 | |
Medica
| Professional | $108.02 | $180.93 | $365.16 | |
United
| Facility | $1,751.00 | $3,500.00 | $8,152.00 | |
United
| Professional | $108.02 | $200.14 | $365.16 |