| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $259.91 | $259.91 | $259.91 | |
BCBS
| Professional | $367.50 | $490.42 | $1,035.16 | |
Medica
| Facility | $262.83 | $358.67 | $475.65 | |
Medica
| Professional | $167.55 | $308.02 | $1,543.89 | |
United
| Professional | $167.55 | $241.35 | $341.78 |