| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,843.00 | $2,904.80 | $2,904.80 | |
BCBS
| Facility | $954.96 | $1,448.88 | $2,540.48 | |
Medica
| Facility | $1,490.72 | $2,097.00 | $5,787.00 | |
United
| Facility | $1,755.00 | $2,872.00 | $4,241.00 |