| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $616.60 | |
Aetna
| Professional | $575.44 | $616.60 | $616.60 | |
BCBS
| Professional | $676.08 | $891.25 | $1,000.00 | |
Medica
| Facility | $616.60 | $616.60 | $1,148.15 | |
United
| Facility | $1,348.96 | $1,348.96 | $1,348.96 |