| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,437.00 | $4,182.00 | $8,104.00 | |
BCBS
| Facility | $830.45 | $3,106.86 | $5,113.62 | |
Medica
| Facility | $406.05 | $616.28 | $3,790.00 | |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |