| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $882.30 | $3,300.84 | $5,432.89 | |
Medica
| Facility | $82.43 | $112.82 | $3,790.00 | |
United
| Facility | $1,424.00 | $3,269.00 | $14,572.00 |