| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $4,677.35 | $8,317.64 | |
BCBS
| Facility | $776.25 | $2,511.89 | $3,801.89 | |
Medica
| Facility | $1,000.00 | $1,445.44 | $4,466.84 | |
United
| Facility | $1,380.38 | $2,454.71 | $4,786.30 |