| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $882.30 | $3,588.37 | $5,502.44 | |
Medica
| Facility | $229.51 | $317.19 | $1,944.00 | |
United
| Facility | $683.00 | $1,423.00 | $2,175.00 |