| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $4,677.35 | $8,317.64 | |
BCBS
| Facility | $776.25 | $2,511.89 | $3,801.89 | |
Medica
| Facility | $707.95 | $1,047.13 | $6,309.57 | |
United
| Facility | $3,548.13 | $4,677.35 | $7,244.36 |