| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $3,263.00 | $6,483.00 | |
BCBS
| Facility | $830.45 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $334.53 | $4,678.83 | $9,251.00 | |
United
| Facility | $5,255.00 | $7,205.00 | $11,396.00 |