| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,474.00 | $9,196.00 | |
BCBS
| Facility | $944.35 | $3,555.20 | $5,814.97 | |
Medica
| Facility | $661.67 | $893.02 | $9,251.00 | |
United
| Facility | $5,315.00 | $8,241.00 | $12,037.71 |