| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,577.22 | $12,735.86 | $40,085.94 | |
BCBS
| Facility | $17,756.28 | $18,390.05 | $18,527.98 | |
Medica
| Facility | $1,577.22 | $2,222.94 | $3,035.62 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |