| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,314.00 | $3,057.00 | $6,329.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $576.23 | $794.89 | $3,159.00 | |
United
| Facility | $1,598.00 | $2,726.00 | $5,029.00 |