| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $5,169.00 | $12,154.00 | |
BCBS
| Facility | $894.90 | $1,317.77 | $2,775.26 | |
Medica
| Facility | $567.65 | $5,314.66 | $15,451.00 | |
United
| Facility | $2,269.00 | $5,875.00 | $10,716.00 |