| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $237.12 | $237.12 | $237.12 | |
BCBS
| Professional | $642.27 | $785.00 | $1,380.21 | |
Medica
| Facility | $239.78 | $400.00 | $1,725.00 | |
Medica
| Professional | $167.55 | $410.70 | $2,635.54 | |
United
| Professional | $167.55 | $321.80 | $455.72 |