| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $830.45 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $243.64 | $533.77 | $1,900.00 | |
United
| Facility | $1,584.00 | $2,567.00 | $5,029.00 |