| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,241.22 | $10,431.19 | $20,928.72 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
BCBS
| Facility | $15,547.24 | $20,448.87 | $39,554.72 | |
Medica
| Facility | $688.00 | $1,169.59 | $7,856.00 | |
United
| Facility | $3,054.00 | $4,317.00 | $13,909.00 | |
United
| Professional | $68.73 | $68.73 | $84.10 |