| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $672.35 | $2,515.38 | $4,140.09 | |
Medica
| Facility | $759.03 | $1,157.15 | $3,790.00 | |
United
| Facility | $2,140.00 | $3,612.00 | $5,546.00 |