| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,848.00 | $4,747.00 | $10,439.00 | |
BCBS
| Facility | $469.00 | $659.53 | $1,385.50 | |
Medica
| Facility | $583.35 | $969.00 | $12,199.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |