| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.98 | $627.98 | $36,433.00 | |
Aetna
| Professional | $627.98 | $627.98 | $627.98 | |
BCBS
| Facility | $0.93 | $1.00 | $1.00 | |
Medica
| Facility | $627.98 | $1,735.18 | $49,057.00 | |
United
| Facility | $563.00 | $1,749.00 | $54,326.00 |