| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,470.00 | $12,600.00 | |
BCBS
| Facility | $2,356.94 | $3,306.44 | $5,505.21 | |
Medica
| Facility | $541.36 | $886.26 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,747.88 |