| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,511.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $1,842.05 | $2,715.15 | $4,306.89 | |
Medica
| Facility | $443.84 | $766.58 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |