| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $721.24 | $721.24 | $721.24 | |
BCBS
| Facility | $7,516.12 | $11,671.64 | $18,341.14 | |
Medica
| Facility | $643.71 | $1,282.83 | $5,882.00 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |