| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $1,743.20 | $6,508.67 | $11,404.89 | |
Medica
| Facility | $1,548.27 | $2,052.11 | $4,255.91 | |
United
| Facility | $175.00 | $2,572.00 | $14,572.00 |