| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $5,248.07 | $9,772.37 | |
BCBS
| Facility | $3,467.37 | $5,888.44 | $7,244.36 | |
Medica
| Facility | $54.95 | $1,479.11 | $6,309.57 | |
United
| Facility | $1,862.09 | $3,715.35 | $6,309.57 |