| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,474.00 | $5,915.00 | $14,100.00 | |
Aetna
| Professional | $3,683.00 | $4,728.00 | $7,411.00 | |
BCBS
| Facility | $12,328.66 | $19,332.08 | $30,159.63 | |
Medica
| Facility | $1,570.00 | $7,074.00 | $15,388.63 | |
United
| Facility | $1,851.00 | $7,074.00 | $14,139.00 |