| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $2,933.00 | $6,483.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $574.88 | $752.96 | $3,790.00 | |
United
| Facility | $2,343.00 | $3,339.00 | $5,838.00 |