| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
BCBS
| Facility | $1,202.00 | $1,202.00 | $1,202.00 | |
Medica
| Facility | $934.29 | $1,485.00 | $26,542.00 | |
United
| Facility | $1,348.85 | $2,902.00 | $5,562.00 |