| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $7,963.00 | |
Aetna
| Professional | $16,536.72 | $16,536.72 | $16,536.72 | |
BCBS
| Facility | $655.35 | $2,467.19 | $4,035.41 | |
BCBS
| Professional | $508.38 | $581.01 | $726.26 | |
Medica
| Facility | $6,584.00 | $16,536.72 | $23,647.51 | |
United
| Facility | $5,255.00 | $7,205.00 | $11,396.00 |