| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,623.41 | $12,302.69 | |
BCBS
| Facility | $398.11 | $549.54 | $870.96 | |
Medica
| Facility | $1,230.27 | $1,819.70 | $26,302.68 | |
United
| Facility | $1,513.56 | $2,089.30 | $4,677.35 |