| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.00 | $4,192.00 | $13,200.00 | |
BCBS
| Facility | $4,175.22 | $6,585.53 | $10,443.50 | |
Medica
| Facility | $491.15 | $672.86 | $4,705.00 | |
United
| Facility | $1,481.00 | $5,524.00 | $9,232.95 |