| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $44.67 | $44.67 | |
Aetna
| Professional | $44.67 | $44.67 | $47.86 | |
BCBS
| Facility | $549.54 | $562.34 | $1,621.81 | |
Medica
| Facility | $45.71 | $77.62 | $1,479.11 | |
United
| Facility | $2,238.72 | $2,290.87 | $3,090.30 |