| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $7,963.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $1,081.67 | $1,473.13 | $3,978.00 | |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |