| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $8,326.00 | |
BCBS
| Facility | $1,660.00 | $6,198.03 | $10,860.55 | |
Medica
| Facility | $1,154.79 | $1,444.12 | $2,845.87 | |
United
| Facility | $1,314.00 | $2,661.00 | $14,572.00 |