| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,023.29 | $1,412.54 | $3,630.78 | |
BCBS
| Professional | $3,090.30 | $3,235.94 | $4,365.16 | |
Medica
| Facility | $3,630.78 | $5,495.41 | $10,232.93 | |
Medica
| Professional | $794.33 | $794.33 | $26,915.35 | |
United
| Professional | $794.33 | $794.33 | $2,290.87 |