| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $4,123.00 | $4,123.00 | $4,123.00 | |
Medica
| Facility | $743.72 | $1,739.00 | $9,660.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |