| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $825.00 | $1,154.56 | $2,431.54 | |
Medica
| Facility | $519.95 | $869.83 | $26,542.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $22,421.00 |