| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,745.00 | $7,467.00 | |
BCBS
| Facility | $587.35 | $2,197.38 | $3,616.69 | |
Medica
| Facility | $316.02 | $426.37 | $7,167.00 | |
United
| Facility | $4,613.00 | $6,477.00 | $9,010.00 |