| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $402.71 | $1,516.10 | $2,479.76 | |
Medica
| Facility | $73.37 | $116.33 | $1,891.00 | |
United
| Facility | $1,086.00 | $1,958.00 | $3,268.00 |