| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $438.60 | $1,651.20 | $2,700.74 | |
Medica
| Facility | $314.25 | $608.64 | $1,497.00 | |
United
| Facility | $1,086.00 | $2,017.00 | $3,268.00 |