| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $6,309.57 | $13,182.57 | |
BCBS
| Facility | $1,047.13 | $1,412.54 | $2,238.72 | |
Medica
| Facility | $1,584.89 | $3,090.30 | $26,302.68 | |
United
| Facility | $2,818.38 | $6,918.31 | $11,748.98 |