| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,521.00 | $9,429.00 | |
BCBS
| Facility | $438.60 | $1,640.88 | $2,700.74 | |
Medica
| Facility | $142.32 | $198.22 | $3,047.00 | |
United
| Facility | $1,578.00 | $2,567.00 | $5,029.00 |