| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $3,090.30 | $6,760.83 | |
BCBS
| Facility | $549.54 | $1,778.28 | $2,691.53 | |
Medica
| Facility | $389.05 | $588.84 | $4,168.69 | |
United
| Facility | $2,290.87 | $3,311.31 | $5,370.32 |