| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $9,112.00 | |
BCBS
| Facility | $1,310.70 | $4,934.39 | $8,070.83 | |
Medica
| Facility | $1,649.69 | $2,254.33 | $15,501.00 | |
United
| Facility | $3,560.00 | $10,575.00 | $16,987.00 |