| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $2,652.00 | $7,500.00 | |
BCBS
| Facility | $4,289.43 | $6,779.72 | $10,794.96 | |
Medica
| Facility | $391.55 | $880.00 | $9,232.95 | |
United
| Facility | $1,481.00 | $5,524.00 | $9,232.95 |