| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,834.13 | $5,909.48 | $13,841.56 | |
Aetna
| Professional | $126.00 | $126.00 | $126.00 | |
BCBS
| Facility | $68.81 | $99.78 | $175.10 | |
Medica
| Facility | $107.10 | $252.00 | $4,406.00 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |