| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,463.36 | $11,100.08 | $20,928.72 | |
Aetna
| Professional | $1,161.00 | $3,520.23 | $12,765.09 | |
BCBS
| Facility | $1,493.06 | $1,963.79 | $3,798.60 | |
Medica
| Facility | $100.00 | $100.00 | $7,040.46 |