| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,073.00 | $5,716.00 | $11,390.00 | |
BCBS
| Facility | $1,310.70 | $4,903.56 | $8,070.83 | |
Medica
| Facility | $1,115.13 | $1,550.00 | $15,169.00 | |
United
| Facility | $3,702.00 | $10,420.00 | $16,841.00 |