| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $273.20 | $273.20 | $273.20 | |
BCBS
| Professional | $642.27 | $787.00 | $1,639.01 | |
Medica
| Facility | $276.27 | $620.00 | $1,725.00 | |
Medica
| Professional | $167.55 | $493.02 | $1,735.09 | |
United
| Professional | $167.55 | $382.14 | $541.16 |