| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $13,405.80 | $21,144.87 | $33,649.15 | |
Medica
| Facility | $387.03 | $2,554.00 | $7,214.89 | |
United
| Facility | $1,157.00 | $3,858.00 | $7,077.94 |