| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $1,479.62 | $1,479.62 | $1,479.62 | |
Medica
| Facility | $55.00 | $1,280.95 | $4,299.12 | |
United
| Facility | $1,264.20 | $2,902.00 | $5,562.00 |