| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,737.80 | $1,737.80 | $3,162.28 | |
BCBS
| Facility | $691.83 | $2,187.76 | $3,311.31 | |
Medica
| Facility | $1,148.15 | $1,698.24 | $3,162.28 | |
United
| Facility | $676.08 | $676.08 | $676.08 |