| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,909.00 | $12,600.00 | |
BCBS
| Facility | $5,858.92 | $9,241.20 | $14,654.94 | |
Medica
| Facility | $251.47 | $3,631.33 | $7,231.39 | |
United
| Facility | $1,851.00 | $6,980.00 | $14,139.00 |