| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,399.09 | $7,199.00 | $14,345.00 | |
BCBS
| Facility | $2,142.14 | $4,632.12 | $5,876.04 | |
Medica
| Facility | $234.68 | $1,327.76 | $6,307.00 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,548.00 |