| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.58 | $27.58 | $2,525.00 | |
Aetna
| Professional | $27.58 | $27.58 | $27.58 | |
BCBS
| Facility | $816.22 | $1,396.23 | $2,539.84 | |
Medica
| Facility | $27.58 | $1,438.00 | $2,400.00 | |
United
| Facility | $563.00 | $1,749.00 | $2,883.00 |