| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,933.00 | $6,305.00 | |
BCBS
| Facility | $1,763.75 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $902.00 | $1,203.05 | $3,187.00 | |
United
| Facility | $1,578.00 | $2,522.00 | $5,029.00 |