| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,742.00 | $12,600.00 | |
BCBS
| Facility | $4,455.06 | $7,026.92 | $11,182.37 | |
Medica
| Facility | $464.36 | $1,794.63 | $11,615.00 | |
United
| Facility | $1,851.00 | $6,980.00 | $13,541.98 |