| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.47 | $2,897.00 | $11,819.00 | |
BCBS
| Facility | $587.35 | $2,294.12 | $3,616.69 | |
Medica
| Facility | $558.89 | $820.10 | $26,985.00 | |
United
| Facility | $5,442.00 | $16,316.00 | $71,555.00 |