| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,779.00 | $12,600.00 | |
BCBS
| Facility | $1,828.00 | $2,889.26 | $4,600.41 | |
Medica
| Facility | $778.16 | $1,267.64 | $5,882.00 | |
United
| Facility | $886.00 | $3,680.00 | $5,847.50 |