| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,195.00 | $13,200.00 | |
BCBS
| Facility | $5,858.92 | $9,241.20 | $14,654.94 | |
Medica
| Facility | $793.08 | $3,051.36 | $6,771.00 | |
United
| Facility | $1,940.00 | $7,074.00 | $14,139.00 |