| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,100.00 | $5,408.00 | $9,196.00 | |
BCBS
| Facility | $944.35 | $3,555.20 | $5,814.97 | |
Medica
| Facility | $679.08 | $899.37 | $7,167.00 | |
United
| Facility | $4,637.00 | $6,477.00 | $9,010.00 |