| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $239.88 | $2,137.96 | |
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,479.11 | |
BCBS
| Facility | $1,479.11 | $2,691.53 | $6,760.83 | |
Medica
| Facility | $891.25 | $1,202.26 | $2,041.74 |