| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,892.50 | $3,617.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $588.91 | $799.37 | $7,167.00 | |
United
| Facility | $4,637.00 | $6,477.00 | $9,010.00 |