| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.89 | $531.89 | $1,922.31 | |
Aetna
| Professional | $531.89 | $531.89 | $1,815.68 | |
BCBS
| Facility | $1,216.35 | $1,648.48 | $3,094.62 | |
Medica
| Facility | $531.89 | $904.21 | $1,063.78 | |
United
| Professional | $68.73 | $68.73 | $84.10 |