| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $1,341.54 | $4,934.39 | $8,070.83 | |
Medica
| Facility | $734.79 | $1,086.00 | $2,749.00 | |
United
| Facility | $1,068.00 | $1,958.00 | $3,268.00 |