| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $2,172.84 | $2,492.37 | $2,556.28 | |
Medica
| Facility | $930.28 | $1,500.70 | $26,542.00 | |
United
| Facility | $1,418.00 | $2,902.00 | $5,565.00 |