| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,505.00 | $1,505.00 | $1,505.00 | |
Aetna
| Professional | $1,560.41 | $1,560.41 | $1,560.41 | |
BCBS
| Facility | $561.79 | $1,230.40 | $2,230.96 | |
Medica
| Facility | $1,420.42 | $1,560.41 | $2,637.09 |