| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $333.74 | $434.60 | $3,770.00 | |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |