| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $3,684.00 | $18,600.00 | |
BCBS
| Facility | $5,858.92 | $9,241.20 | $14,654.94 | |
Medica
| Facility | $1,386.21 | $2,004.10 | $5,833.89 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |