| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $3,701.00 | $10,439.00 | |
BCBS
| Facility | $3,708.71 | $5,021.68 | $8,762.16 | |
Medica
| Facility | $70.28 | $957.19 | $5,032.00 | |
United
| Facility | $1,967.00 | $5,032.00 | $12,199.00 |