| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $263.03 | $8,511.38 | |
Aetna
| Professional | 50 | $40.74 | $162.18 | $457.09 |
BCBS
| Professional | 50 | $346.74 | $501.19 | $851.14 |
Medica
| Facility | $141.25 | $245.47 | $512.86 | |
Medica
| Facility | 50 | $7,079.46 | $7,079.46 | $7,079.46 |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |