| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,995.26 | $5,623.41 | $12,302.69 | |
BCBS
| Facility | $1,096.48 | $1,445.44 | $2,290.87 | |
Medica
| Facility | $1,000.00 | $2,818.38 | $26,302.68 | |
United
| Facility | $1,862.09 | $2,818.38 | $6,309.57 |