| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
Aetna
| Professional | $36.00 | $36.00 | $36.00 | |
BCBS
| Facility | $294.10 | $1,107.20 | $1,810.96 | |
BCBS
| Professional | $13.99 | $16.27 | $23.86 | |
Medica
| Facility | $36.00 | $835.00 | $2,035.00 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |