| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $688.00 | $36,230.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
BCBS
| Facility | $8,991.18 | $16,222.96 | $33,458.26 | |
Medica
| Facility | $688.00 | $3,500.00 | $51,251.00 | |
United
| Facility | $1,751.00 | $3,954.00 | $54,326.00 |