| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,234.60 | $2,234.60 | $2,234.60 | |
Aetna
| Professional | $233.56 | $2,006.33 | $2,234.60 | |
BCBS
| Facility | $1,660.00 | $3,921.75 | $9,698.54 | |
Medica
| Facility | $280.27 | $2,346.33 | $4,536.24 |