| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,745.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $489.10 | $664.44 | $6,063.00 | |
United
| Facility | $2,766.54 | $3,981.00 | $7,217.00 |