| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,274.00 | $4,406.00 | $10,439.00 | |
BCBS
| Facility | $917.41 | $3,408.39 | $5,680.63 | |
Medica
| Facility | $461.46 | $827.43 | $16,394.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $12,199.00 |