| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $3,890.45 | $7,762.47 | |
BCBS
| Facility | $630.96 | $2,041.74 | $3,019.95 | |
Medica
| Facility | $562.34 | $851.14 | $16,982.44 | |
United
| Facility | $4,677.35 | $10,715.19 | $17,782.79 |