| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,248.00 | $4,930.00 | $16,400.00 | |
BCBS
| Facility | $13,370.68 | $21,133.17 | $33,649.15 | |
Medica
| Facility | $795.93 | $1,477.45 | $19,869.87 | |
United
| Facility | $1,960.00 | $9,469.00 | $20,190.00 |