| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.20 | $588.20 | $588.20 | |
Aetna
| Professional | $1,985.43 | $1,985.43 | $1,985.43 | |
BCBS
| Professional | $563.98 | $663.51 | $663.51 | |
Medica
| Facility | $55.00 | $682.06 | $4,502.00 | |
Medica
| Professional | $428.25 | $602.95 | $4,568.99 | |
United
| Professional | $415.03 | $572.71 | $839.90 |