| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,747.00 | $10,439.00 | |
BCBS
| Facility | $894.90 | $1,961.76 | $2,335.21 | |
Medica
| Facility | $257.55 | $550.32 | $6,207.00 | |
United
| Facility | $525.00 | $1,353.00 | $4,219.00 |