| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,521.00 | $14,854.00 | |
BCBS
| Facility | $587.35 | $2,197.38 | $3,616.69 | |
Medica
| Facility | $550.75 | $779.64 | $4,349.00 | |
United
| Facility | $1,424.00 | $3,269.00 | $14,572.00 |