| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,728.00 | $14,100.00 | |
BCBS
| Facility | $5,989.85 | $9,467.32 | $15,074.27 | |
Medica
| Facility | $170.36 | $281.82 | $4,393.26 | |
United
| Facility | $575.00 | $1,990.00 | $3,790.62 |