| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $5,495.41 | $10,471.29 | |
BCBS
| Facility | $1,862.09 | $1,862.09 | $1,862.09 | |
Medica
| Facility | $54.95 | $1,862.09 | $5,754.40 | |
United
| Facility | $1,819.70 | $2,884.03 | $6,309.57 |