| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,495.41 | $10,715.19 | |
BCBS
| Facility | $190.55 | $616.60 | $912.01 | |
Medica
| Facility | $131.83 | $436.52 | $4,466.84 | |
United
| Facility | $1,348.96 | $2,290.87 | $5,495.41 |