| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $6,309.57 | $10,232.93 | |
BCBS
| Facility | $1,949.84 | $6,309.57 | $9,332.54 | |
Medica
| Facility | $251.19 | $1,348.96 | $4,466.84 | |
United
| Facility | $1,348.96 | $2,290.87 | $5,495.41 |