| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $931.02 | $1,067.94 | $1,095.32 | |
Medica
| Facility | $474.15 | $838.37 | $26,542.00 | |
United
| Facility | $825.00 | $1,786.00 | $3,918.00 |