| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $9,112.00 | |
Aetna
| Professional | $13,753.37 | $13,753.37 | $13,753.37 | |
BCBS
| Facility | $219.30 | $820.44 | $1,350.37 | |
BCBS
| Professional | $194.64 | $494.92 | $809.87 | |
Medica
| Facility | $3,638.00 | $13,753.37 | $19,667.32 | |
United
| Facility | $3,161.00 | $4,702.00 | $7,217.00 |