| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,745.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,515.38 | $4,140.09 | |
Medica
| Facility | $288.83 | $404.36 | $7,168.00 | |
United
| Facility | $4,094.00 | $6,455.00 | $9,010.00 |