| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $12,600.00 | |
BCBS
| Facility | $1,599.68 | $2,523.16 | $4,001.29 | |
Medica
| Facility | $222.57 | $747.79 | $2,648.98 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |