| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,010.52 | $6,560.00 | $13,151.00 | |
BCBS
| Facility | $1,859.11 | $1,859.11 | $1,859.11 | |
Medica
| Facility | $1,527.31 | $2,450.00 | $26,542.00 | |
United
| Facility | $1,769.00 | $3,572.00 | $6,988.00 |