| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,073.00 | $4,474.00 | $8,239.00 | |
BCBS
| Facility | $830.45 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $594.41 | $781.80 | $9,251.00 | |
United
| Facility | $5,279.00 | $7,341.00 | $11,396.00 |