| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $620.35 | $620.35 | $620.35 | |
Aetna
| Professional | $596.79 | $596.79 | $1,559.20 | |
BCBS
| Facility | $252.82 | $342.64 | $643.22 | |
Medica
| Facility | $109.60 | $130.34 | $146.68 | |
Medica
| Professional | $119.00 | $119.00 | $119.00 | |
United
| Professional | $119.00 | $119.00 | $119.00 |