| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,521.00 | $8,283.00 | |
BCBS
| Facility | $830.40 | $3,100.51 | $5,432.89 | |
Medica
| Facility | $225.05 | $291.52 | $4,637.00 | |
United
| Facility | $2,350.00 | $6,230.00 | $9,010.00 |