| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,728.00 | $14,100.00 | |
BCBS
| Facility | $5,450.57 | $8,614.95 | $13,717.10 | |
Medica
| Facility | $944.47 | $1,477.78 | $7,405.00 | |
United
| Facility | $884.00 | $3,363.00 | $6,886.00 |