| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $380.19 | $380.19 | |
Aetna
| Professional | $251.19 | $380.19 | $380.19 | |
BCBS
| Facility | $524.81 | $870.96 | $2,344.23 | |
Medica
| Facility | $630.96 | $794.33 | $1,096.48 | |
United
| Facility | $537.03 | $549.54 | $741.31 |