| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $5,623.41 | $10,471.29 | |
BCBS
| Facility | $3,090.30 | $3,235.94 | $3,311.31 | |
Medica
| Facility | $1,202.26 | $1,819.70 | $26,302.68 | |
United
| Facility | $1,513.56 | $3,548.13 | $5,623.41 |