| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.06 | $80.06 | $126.61 | |
BCBS
| Facility | $88.87 | $348.93 | $581.45 | |
BCBS
| Professional | $74.43 | $88.87 | $103.31 | |
Medica
| Facility | $80.06 | $126.61 | $181.05 | |
Medica
| Professional | $80.06 | $175.50 | $175.50 | |
United
| Facility | $117.84 | $117.84 | $117.84 |