| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $902.63 | $3,320.00 | $5,430.28 | |
Medica
| Facility | $136.07 | $242.45 | $1,944.00 | |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |