| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,557.09 | $21,537.01 | $21,537.01 | |
BCBS
| Facility | $113.63 | $410.50 | $742.16 | |
BCBS
| Professional | $2,215.71 | $2,954.30 | $4,911.52 | |
Medica
| Facility | $1,557.09 | $1,557.09 | $21,537.01 | |
Medica
| Professional | $3,044.76 | $3,044.76 | $3,044.76 |