| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,474.00 | $30,000.00 | |
BCBS
| Facility | $830.40 | $3,100.51 | $5,432.89 | |
Medica
| Facility | $237.17 | $298.31 | $1,387.83 | |
United
| Facility | $175.00 | $2,572.00 | $14,572.00 |