| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,777.00 | $12,600.00 | |
BCBS
| Facility | $1,594.10 | $2,910.16 | $3,726.84 | |
Medica
| Facility | $55.00 | $974.17 | $3,786.00 | |
United
| Facility | $1,436.00 | $3,125.00 | $5,565.00 |