| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,463.36 | $11,100.08 | $20,928.72 | |
Aetna
| Professional | $1,161.00 | $1,556.10 | $12,765.09 | |
BCBS
| Facility | $15,547.24 | $20,448.87 | $39,554.72 | |
Medica
| Facility | $1,242.00 | $1,775.00 | $4,406.00 | |
United
| Facility | $1,031.00 | $1,775.00 | $4,406.00 |