| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $131.83 | $131.83 | |
Aetna
| Professional | $131.83 | $151.36 | $346.74 | |
BCBS
| Facility | $138.04 | $173.78 | $346.74 | |
Medica
| Facility | $66.07 | $89.13 | $251.19 | |
United
| Facility | $30.20 | $64.57 | $100.00 | |
United
| Professional | $26.92 | $32.36 | $32.36 |