| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,843.00 | $2,843.00 | $2,843.00 | |
BCBS
| Facility | $0.93 | $1.00 | $1.00 | |
Medica
| Facility | $563.00 | $1,749.00 | $2,720.00 | |
United
| Facility | $563.00 | $1,749.00 | $2,883.00 |