| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $830.45 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $641.03 | $851.02 | $7,167.00 | |
United
| Facility | $4,637.00 | $6,477.00 | $18,129.00 |