| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $5,013.00 | $9,901.00 | |
BCBS
| Facility | $2,107.14 | $7,750.40 | $12,676.75 | |
Medica
| Facility | $251.23 | $447.64 | $4,349.00 | |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |