| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $4,365.16 | $7,943.28 | |
BCBS
| Facility | $1,659.59 | $4,365.16 | $7,943.28 | |
Medica
| Facility | $588.84 | $776.25 | $4,677.35 | |
United
| Facility | $2,818.38 | $4,365.16 | $7,244.36 |