| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,803.00 | $12,600.00 | |
BCBS
| Facility | $4,110.62 | $6,530.30 | $10,281.90 | |
Medica
| Facility | $566.87 | $818.12 | $5,543.93 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |