| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,856.00 | $14,100.00 | |
Aetna
| Professional | $3,683.00 | $4,638.00 | $8,077.00 | |
BCBS
| Facility | $13,405.80 | $21,144.87 | $33,649.15 | |
Medica
| Facility | $1,960.00 | $9,469.00 | $20,812.48 | |
United
| Facility | $1,960.00 | $9,469.00 | $20,190.00 |