| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,555.00 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $1,123.00 | $1,571.66 | $2,491.94 | |
Medica
| Facility | $429.95 | $880.48 | $16,394.00 | |
United
| Facility | $1,031.00 | $1,450.00 | $3,405.36 |