| 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 | $436.18 | $585.78 | $848.51 | |
Medica
| Facility | $1,726.72 | $1,726.72 | $1,968.46 |