| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,073.00 | $6,048.00 | $11,109.00 | |
BCBS
| Facility | $1,763.75 | $6,598.50 | $10,860.55 | |
Medica
| Facility | $916.16 | $1,255.85 | $6,117.00 | |
United
| Facility | $2,878.00 | $4,545.00 | $7,217.00 |