| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $52.48 | $52.48 | |
Aetna
| Professional | $26.92 | $26.92 | $34.67 | |
BCBS
| Facility | $1,258.93 | $1,995.26 | $3,235.94 | |
Medica
| Facility | $27.54 | $30.20 | $83.18 | |
United
| Facility | $15.85 | $53.70 | $93.33 |