| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.72 | $308.72 | $308.72 | |
Aetna
| Professional | $308.72 | $308.72 | $308.72 | |
BCBS
| Professional | $389.55 | $458.98 | $502.37 | |
Medica
| Facility | $455.42 | $455.42 | $839.40 | |
United
| Professional | $637.48 | $637.48 | $637.48 |