| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $6,870.00 | $13,151.00 | |
BCBS
| Facility | $627.00 | $627.00 | $627.00 | |
Medica
| Facility | $55.00 | $1,726.14 | $9,660.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |