| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
BCBS
| Facility | $3,459.73 | $3,968.51 | $4,070.27 | |
Medica
| Facility | $1,034.75 | $1,543.74 | $26,542.00 | |
United
| Facility | $1,418.00 | $3,096.00 | $6,026.00 |