| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $5,859.00 | $13,151.00 | |
BCBS
| Facility | $2,069.04 | $2,373.31 | $5,549.88 | |
Medica
| Facility | $837.76 | $1,535.64 | $15,451.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |