| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,055.00 | $6,329.00 | |
BCBS
| Facility | $1,763.75 | $6,598.50 | $10,860.55 | |
Medica
| Facility | $1,121.41 | $1,521.79 | $14,515.00 | |
United
| Facility | $3,702.00 | $10,420.00 | $16,841.00 |