| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $5,939.00 | $13,151.00 | |
BCBS
| Facility | $2,025.40 | $2,986.15 | $4,734.39 | |
Medica
| Facility | $525.84 | $881.38 | $9,463.84 | |
United
| Facility | $1,521.00 | $3,786.00 | $5,562.00 |