| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $2,933.00 | $6,483.00 | |
BCBS
| Facility | $438.60 | $1,651.20 | $2,700.74 | |
Medica
| Facility | $715.58 | $1,019.44 | $9,251.00 | |
United
| Facility | $5,255.00 | $8,241.00 | $11,615.11 |