| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,715.35 | $7,762.47 | |
BCBS
| Facility | $416.87 | $1,318.26 | $1,995.26 | |
Medica
| Facility | $204.17 | $1,621.81 | $5,754.40 | |
United
| Facility | $3,235.94 | $4,570.88 | $7,244.36 |