| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $438.60 | $1,651.20 | $2,700.74 | |
Medica
| Facility | $110.82 | $155.54 | $1,887.00 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |