| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $1,660.00 | $6,198.03 | $10,860.55 | |
Medica
| Facility | $1,388.07 | $1,717.20 | $3,427.71 | |
United
| Facility | $175.00 | $2,572.00 | $14,572.00 |