| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.91 | $3,742.00 | $12,600.00 | |
BCBS
| Facility | $4,578.09 | $7,160.40 | $11,171.65 | |
Medica
| Facility | $394.80 | $589.20 | $2,875.93 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |