| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $5,013.00 | $9,901.00 | |
BCBS
| Facility | $1,442.54 | $5,305.89 | $8,678.44 | |
Medica
| Facility | $1,169.00 | $1,794.00 | $4,466.00 | |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |