| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,551.75 | $4,521.00 | $9,112.00 | |
BCBS
| Facility | $1,763.75 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $764.41 | $1,029.76 | $7,140.00 | |
United
| Facility | $4,637.00 | $6,477.00 | $9,010.00 |