| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,241.22 | $11,995.87 | $24,068.03 | |
Aetna
| Professional | $912.27 | $912.27 | $912.27 | |
BCBS
| Facility | $15,547.24 | $20,448.87 | $39,554.72 | |
Medica
| Facility | $912.27 | $1,596.47 | $26,581.96 | |
United
| Facility | $8,148.00 | $9,696.00 | $15,622.00 |