| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,629.00 | $3,701.00 | $10,439.00 | |
Aetna
| Professional | $412.00 | $1,051.00 | $7,655.00 | |
BCBS
| Facility | $653.00 | $868.35 | $1,447.78 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |