| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $13,405.80 | $21,144.87 | $33,649.15 | |
Medica
| Facility | $261.04 | $1,730.62 | $11,423.00 | |
United
| Facility | $1,570.00 | $6,980.00 | $13,541.98 |