| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,753.00 | $5,506.00 | |
BCBS
| Facility | $294.10 | $1,107.20 | $1,810.96 | |
Medica
| Facility | $136.81 | $196.82 | $1,234.00 | |
United
| Facility | $683.00 | $1,423.00 | $2,114.00 |