| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,389.00 | $2,897.00 | $6,483.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $491.54 | $611.62 | $1,234.00 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |