| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,521.00 | $8,447.00 | |
BCBS
| Facility | $830.45 | $3,377.49 | $5,113.62 | |
Medica
| Facility | $631.95 | $839.92 | $6,063.00 | |
United
| Facility | $2,892.00 | $4,545.00 | $7,217.00 |