| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,070.00 | $2,304.00 | $5,506.00 | |
BCBS
| Facility | $882.30 | $3,300.84 | $5,432.89 | |
Medica
| Facility | $176.75 | $235.00 | $1,448.00 | |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |