| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $3,819.00 | $11,883.00 | |
BCBS
| Facility | $301.02 | $1,234.53 | $1,810.96 | |
Medica
| Facility | $213.74 | $1,384.43 | $8,484.00 | |
United
| Facility | $5,255.00 | $7,205.00 | $11,396.00 |