| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $104.71 | $104.71 | $213.80 | |
BCBS
| Facility | $6,456.54 | $8,511.38 | $16,595.87 | |
BCBS
| Professional | $144.54 | $151.36 | $151.36 | |
Medica
| Facility | $93.33 | $199.53 | $269.15 | |
United
| Facility | $128.82 | $218.78 | $288.40 |