| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,488.00 | $11,009.00 | $16,007.00 | |
Aetna
| Professional | $2,843.00 | $2,843.00 | $2,843.00 | |
BCBS
| Facility | $43,830.30 | $66,500.14 | $116,602.12 | |
Medica
| Facility | $15,133.00 | $26,931.00 | $90,980.60 | |
United
| Facility | $14,155.00 | $17,909.00 | $51,233.00 |