| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $3,263.00 | $7,562.14 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $248.35 | $375.88 | $16,394.00 | |
United
| Facility | $5,101.00 | $8,399.00 | $18,129.00 |