| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,534.18 | $6,534.18 | $8,500.00 | |
Aetna
| Professional | $579.25 | $6,534.18 | $7,943.92 | |
BCBS
| Professional | $1,192.75 | $1,312.08 | $1,538.48 | |
Medica
| Facility | $1,083.98 | $6,534.18 | $11,108.11 | |
Medica
| Professional | $1,000.04 | $1,711.93 | $2,051.29 | |
United
| Professional | $849.42 | $1,571.34 | $1,902.14 |