| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $104.71 | $302.00 | |
BCBS
| Facility | $37.15 | $120.23 | $177.83 | |
BCBS
| Professional | $47.86 | $47.86 | $229.09 | |
Medica
| Facility | $104.71 | $213.80 | $316.23 | |
United
| Facility | $128.82 | $128.82 | $128.82 |