| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,890.45 | $7,762.47 | |
BCBS
| Facility | $549.54 | $1,778.28 | $2,691.53 | |
Medica
| Facility | $1,096.48 | $1,778.28 | $5,128.61 | |
United
| Facility | $1,348.96 | $2,290.87 | $5,495.41 |