| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $5,623.41 | $12,302.69 | |
BCBS
| Facility | $1,096.48 | $1,148.15 | $1,148.15 | |
Medica
| Facility | $758.58 | $1,479.11 | $26,302.68 | |
United
| Facility | $1,513.56 | $2,089.30 | $4,677.35 |