| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $4,073.80 | $8,128.31 | |
Aetna
| Professional | $891.25 | $1,348.96 | $3,630.78 | |
BCBS
| Facility | $645.65 | $870.96 | $954.99 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |