| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,200.00 | |
BCBS
| Facility | $1,096.00 | $3,231.45 | $6,117.57 | |
Medica
| Facility | $718.23 | $1,075.45 | $10,160.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |