| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $1,208.67 | $1,418.42 | $1,493.07 | |
Medica
| Facility | $737.28 | $1,453.84 | $26,542.00 | |
United
| Facility | $1,202.00 | $3,572.00 | $7,164.90 |