| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,801.89 | $6,165.95 | |
Aetna
| Professional | $4,786.30 | $4,786.30 | $4,786.30 | |
BCBS
| Facility | $630.96 | $1,047.13 | $2,630.27 | |
Medica
| Facility | $4,073.80 | $4,786.30 | $9,772.37 |