| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
BCBS
| Facility | $3,680.47 | $5,817.20 | $9,262.40 | |
Medica
| Facility | $732.15 | $1,216.25 | $12,000.00 | |
United
| Facility | $1,570.00 | $6,980.00 | $13,541.98 |