| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,309.57 | $13,182.57 | |
BCBS
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $54.95 | $2,137.96 | $10,000.00 | |
United
| Facility | $2,818.38 | $5,623.41 | $10,715.19 |