| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
BCBS
| Facility | $1,594.10 | $2,238.51 | $3,726.84 | |
Medica
| Facility | $783.32 | $1,386.24 | $26,542.00 | |
United
| Facility | $1,418.00 | $2,902.00 | $5,565.00 |