| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,517.60 | $1,517.60 | $1,517.60 | |
BCBS
| Professional | $2,318.27 | $2,318.27 | $2,318.27 | |
Medica
| Facility | $1,783.18 | $5,271.95 | $7,311.77 | |
Medica
| Professional | $853.65 | $1,138.20 | $27,066.30 | |
United
| Professional | $853.65 | $1,138.20 | $3,532.75 |