| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,463.36 | $10,719.00 | $20,928.72 | |
Aetna
| Professional | $1,161.00 | $1,556.10 | $12,765.09 | |
BCBS
| Facility | $25,731.81 | $33,844.37 | $65,465.93 | |
Medica
| Facility | $11,221.00 | $34,233.37 | $45,814.13 | |
United
| Facility | $11,221.00 | $14,989.00 | $44,635.00 |