| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $4,195.00 | $13,200.00 | |
Aetna
| Professional | $3,683.00 | $4,195.00 | $7,310.00 | |
BCBS
| Facility | $5,450.57 | $8,614.95 | $13,717.10 | |
Medica
| Facility | $875.00 | $3,317.00 | $5,962.62 | |
United
| Facility | $942.00 | $3,680.00 | $5,847.50 |