| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $7,960.15 | |
BCBS
| Facility | $944.35 | $3,555.20 | $5,814.97 | |
Medica
| Facility | $434.14 | $582.46 | $3,790.00 | |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |