| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,819.00 | $6,329.00 | |
BCBS
| Facility | $830.45 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $569.87 | $748.97 | $1,924.00 | |
United
| Facility | $683.00 | $1,409.00 | $2,175.00 |