| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $294.10 | $1,107.20 | $1,810.96 | |
Medica
| Facility | $71.15 | $100.25 | $3,093.00 | |
United
| Facility | $1,424.00 | $2,522.00 | $5,029.00 |