| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,521.00 | $9,618.00 | |
BCBS
| Facility | $1,763.75 | $6,598.50 | $10,860.55 | |
Medica
| Facility | $1,095.20 | $1,480.88 | $14,559.60 | |
United
| Facility | $3,560.00 | $10,316.00 | $16,841.00 |