| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,038.00 | $2,351.25 | $5,506.00 | |
BCBS
| Facility | $781.60 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $333.52 | $554.76 | $1,487.00 | |
United
| Facility | $1,086.00 | $2,017.00 | $3,268.00 |