| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,978.00 | $6,870.00 | $13,151.00 | |
BCBS
| Facility | $1,056.00 | $1,475.95 | $3,108.36 | |
Medica
| Facility | $1,568.14 | $2,399.48 | $19,381.88 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |