| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,365.00 | $14,100.00 | |
BCBS
| Facility | $1,113.00 | $1,113.00 | $1,113.00 | |
Medica
| Facility | $1,124.00 | $1,926.30 | $10,160.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |