| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $2,912.00 | $6,483.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $570.03 | $856.45 | $6,063.00 | |
United
| Facility | $3,384.00 | $4,635.00 | $7,217.00 |