| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,890.45 | $7,762.47 | |
BCBS
| Facility | $630.96 | $2,041.74 | $3,019.95 | |
Medica
| Facility | $338.84 | $512.86 | $4,168.69 | |
United
| Facility | $1,380.38 | $3,311.31 | $5,370.32 |