| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $3,090.30 | $5,623.41 | |
BCBS
| Facility | $1,659.59 | $5,370.32 | $7,943.28 | |
Medica
| Facility | $147.91 | $275.42 | $1,862.09 | |
United
| Facility | $602.56 | $1,513.56 | $3,235.94 |