| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,786.30 | $8,317.64 | |
BCBS
| Facility | $891.25 | $2,884.03 | $4,265.80 | |
Medica
| Facility | $524.81 | $794.33 | $7,943.28 | |
United
| Facility | $2,754.23 | $6,025.60 | $8,709.64 |