| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,623.41 | $10,471.29 | |
BCBS
| Facility | $3,467.37 | $4,570.88 | $7,244.36 | |
Medica
| Facility | $54.95 | $1,445.44 | $5,754.40 | |
United
| Facility | $1,862.09 | $3,090.30 | $6,309.57 |