| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $5,511.00 | $16,900.00 | |
BCBS
| Facility | $6,089.88 | $9,700.70 | $15,488.78 | |
Medica
| Facility | $1,228.83 | $3,365.00 | $10,198.00 | |
United
| Facility | $1,481.00 | $5,524.00 | $9,953.00 |