| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $7,963.00 | |
BCBS
| Facility | $944.35 | $3,555.20 | $5,814.97 | |
Medica
| Facility | $406.35 | $569.91 | $7,167.00 | |
United
| Facility | $2,766.54 | $5,596.00 | $9,010.00 |