| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $4,365.16 | |
Aetna
| Professional | $537.03 | $537.03 | $912.01 | |
BCBS
| Facility | $426.58 | $645.65 | $851.14 | |
Medica
| Facility | $537.03 | $562.34 | $1,174.90 | |
United
| Facility | $346.74 | $1,174.90 | $2,041.74 |