| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $6,112.00 | $10,707.00 | |
BCBS
| Facility | $1,805.25 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $391.15 | $5,165.83 | $13,439.00 | |
United
| Facility | $3,702.00 | $10,420.00 | $16,841.00 |