| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.04 | $585.04 | $585.04 | |
Aetna
| Professional | $585.04 | $585.04 | $585.04 | |
BCBS
| Professional | $576.44 | $679.18 | $743.38 | |
Medica
| Facility | $585.04 | $585.04 | $1,140.11 | |
United
| Professional | $16.35 | $16.35 | $16.35 |