| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,094.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,613.46 | $4,140.09 | |
Medica
| Facility | $625.22 | $861.02 | $21,069.00 | |
United
| Facility | $3,600.00 | $14,308.00 | $23,087.00 |