| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,726.72 | $1,726.72 | $1,726.72 | |
Aetna
| Professional | $1,726.72 | $1,726.72 | $1,726.72 | |
BCBS
| Facility | $412.00 | $578.29 | $917.01 | |
Medica
| Facility | $1,726.72 | $1,778.52 | $2,762.75 | |
United
| Facility | $594.58 | $594.58 | $626.03 |