| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.00 | $846.77 | $2,062.27 | |
Aetna
| Professional | $344.79 | $464.39 | $846.77 | |
BCBS
| Facility | $154.00 | $204.37 | $362.36 | |
Medica
| Facility | $429.07 | $846.77 | $929.73 | |
Medica
| Professional | $883.24 | $883.24 | $4,860.70 | |
United
| Professional | $883.24 | $883.24 | $994.26 |