| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,309.57 | $14,454.40 | |
BCBS
| Facility | $13,489.63 | $13,489.63 | $13,489.63 | |
Medica
| Facility | $1,548.82 | $2,754.23 | $26,302.68 | |
United
| Facility | $2,818.38 | $6,918.31 | $12,589.25 |