| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,797.00 | $5,467.00 | $12,237.00 | |
BCBS
| Facility | $936.96 | $1,102.31 | $4,136.55 | |
Medica
| Facility | $396.33 | $630.23 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |