| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $1,763.75 | $6,598.50 | $10,860.55 | |
Medica
| Facility | $1,477.81 | $1,818.47 | $3,269.00 | |
United
| Facility | $1,578.00 | $2,567.00 | $5,029.00 |