| 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 | $1,126.74 | $1,492.54 | $15,169.00 | |
United
| Facility | $3,600.00 | $10,420.00 | $16,841.00 |