| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,569.00 | $8,101.00 | $14,450.00 | |
Aetna
| Professional | $3,600.00 | $7,655.00 | $12,925.00 | |
BCBS
| Facility | $578.00 | $1,469.75 | $1,788.95 | |
Medica
| Facility | $1,160.00 | $3,647.00 | $6,982.06 | |
United
| Facility | $1,779.00 | $3,710.00 | $6,988.00 |