| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,907.91 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $535.00 | $535.00 | $535.00 | |
Medica
| Facility | $55.00 | $681.47 | $3,595.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |