| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,936.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $781.70 | $1,075.04 | $9,251.00 | |
United
| Facility | $5,279.00 | $7,341.00 | $11,396.00 |