| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,976.00 | $7,397.00 | $13,261.00 | |
Aetna
| Professional | $2,843.00 | $2,843.00 | $3,216.00 | |
BCBS
| Facility | $482.62 | $6,643.26 | $13,974.36 | |
Medica
| Facility | $3,991.00 | $9,043.04 | $12,407.88 | |
United
| Facility | $1,445.00 | $4,968.00 | $9,787.00 |