| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,860.73 | $4,747.00 | $10,439.00 | |
BCBS
| Facility | $681.00 | $681.00 | $681.00 | |
Medica
| Facility | $55.00 | $1,930.91 | $3,786.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |