| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,800.00 | $6,071.00 | $13,151.00 | |
Aetna
| Professional | $2,800.00 | $5,467.00 | $9,214.00 | |
BCBS
| Facility | $2,132.00 | $4,342.14 | $5,694.63 | |
Medica
| Facility | $950.00 | $2,902.00 | $6,026.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,562.00 |