| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.57 | $228.57 | $228.57 | |
BCBS
| Professional | $367.50 | $448.69 | $862.62 | |
Medica
| Facility | $231.13 | $315.41 | $362.68 | |
Medica
| Professional | $167.55 | $256.69 | $1,469.65 | |
United
| Professional | $167.55 | $201.13 | $284.82 |