| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,641.50 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,613.46 | $4,140.09 | |
Medica
| Facility | $695.62 | $854.34 | $3,047.00 | |
United
| Facility | $1,584.00 | $2,567.00 | $5,105.00 |