| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,779.00 | $12,600.00 | |
BCBS
| Facility | $19,149.64 | $30,204.58 | $48,066.43 | |
Medica
| Facility | $409.80 | $4,777.00 | $27,619.77 | |
United
| Facility | $3,228.00 | $12,188.42 | $27,810.86 |