| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,684.00 | $4,747.00 | $13,195.68 | |
BCBS
| Facility | $27,043.72 | $31,435.43 | $36,982.86 | |
Medica
| Facility | $55.00 | $1,397.15 | $20,808.00 | |
United
| Facility | $4,096.00 | $8,916.00 | $31,505.00 |