| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $4,192.00 | $13,200.00 | |
BCBS
| Facility | $5,374.38 | $8,476.95 | $13,489.91 | |
Medica
| Facility | $816.66 | $1,236.65 | $4,705.00 | |
United
| Facility | $575.00 | $1,928.00 | $3,790.62 |