| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.69 | $3,783.00 | $4,523.74 | |
Aetna
| Professional | $376.69 | $376.69 | $376.69 | |
BCBS
| Facility | $1,824.54 | $2,380.57 | $4,641.93 | |
Medica
| Facility | $151.18 | $491.01 | $715.71 |