| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
BCBS
| Facility | $4,076.22 | $4,076.22 | $4,076.22 | |
Medica
| Facility | $55.00 | $1,748.72 | $7,661.00 | |
United
| Facility | $1,967.00 | $4,916.00 | $11,732.00 |