| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,175.00 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $683.05 | $1,004.45 | $1,703.56 | |
Medica
| Facility | $205.67 | $559.11 | $3,810.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |