| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,380.38 | $1,862.09 | $2,137.96 | |
BCBS
| Professional | $4,677.35 | $4,897.79 | $6,760.83 | |
Medica
| Facility | $3,311.31 | $4,897.79 | $8,317.64 | |
Medica
| Professional | $1,047.13 | $1,047.13 | $24,547.09 | |
United
| Professional | $1,047.13 | $1,047.13 | $2,089.30 |