| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $944.35 | $3,670.74 | $5,814.97 | |
Medica
| Facility | $1,062.83 | $1,386.30 | $4,435.00 | |
United
| Facility | $1,519.00 | $3,269.00 | $5,261.00 |