| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,073.00 | $3,617.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,734.49 | $4,193.09 | |
Medica
| Facility | $457.24 | $603.36 | $5,740.00 | |
United
| Facility | $2,892.00 | $4,545.00 | $7,217.00 |