| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $229.09 | $229.09 | |
Aetna
| Professional | $229.09 | $229.09 | $501.19 | |
BCBS
| Facility | $223.87 | $229.09 | $776.25 | |
BCBS
| Professional | $112.20 | $141.25 | $141.25 | |
Medica
| Facility | $229.09 | $229.09 | $588.84 | |
Medica
| Professional | $758.58 | $758.58 | $758.58 | |
United
| Facility | $616.60 | $630.96 | $851.14 |