| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.00 | $3,803.00 | $13,200.00 | |
BCBS
| Facility | $4,175.22 | $6,484.55 | $10,149.07 | |
Medica
| Facility | $232.16 | $317.27 | $5,543.93 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |