| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $5,656.00 | $16,900.00 | |
BCBS
| Facility | $6,116.83 | $9,733.03 | $15,488.78 | |
Medica
| Facility | $1,280.00 | $3,450.00 | $9,479.00 | |
United
| Facility | $1,481.00 | $5,369.00 | $9,953.00 |