| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,800.00 | $4,470.00 | $10,439.00 | |
BCBS
| Facility | $783.75 | $1,154.56 | $2,431.54 | |
Medica
| Facility | $366.54 | $586.15 | $6,496.00 | |
United
| Facility | $955.00 | $3,096.00 | $5,565.00 |