| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $830.45 | $3,228.01 | $5,113.62 | |
Medica
| Facility | $914.48 | $1,161.09 | $3,763.00 | |
United
| Facility | $1,584.00 | $2,567.00 | $5,105.00 |