| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $6,112.00 | $10,695.00 | |
BCBS
| Facility | $1,805.25 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $833.91 | $1,310.31 | $15,169.00 | |
United
| Facility | $3,560.00 | $10,316.00 | $16,841.00 |