| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,671.31 | $2,136.26 | $2,136.26 | |
BCBS
| Professional | $2,952.68 | $4,724.28 | $5,314.82 | |
Medica
| Facility | $3,316.50 | $4,950.00 | $8,365.50 | |
Medica
| Professional | $1,055.57 | $1,055.57 | $24,651.00 | |
United
| Professional | $1,055.57 | $1,055.57 | $2,079.00 |