| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,576.00 | $8,400.00 | |
BCBS
| Facility | $3,866.13 | $6,110.65 | $9,729.64 | |
Medica
| Facility | $108.18 | $192.35 | $5,847.50 | |
United
| Facility | $884.00 | $3,363.00 | $6,167.00 |