| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,182.00 | $7,960.15 | |
BCBS
| Facility | $849.99 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $1,158.56 | $1,810.44 | $9,437.00 | |
United
| Facility | $4,609.20 | $6,787.00 | $11,396.00 |