| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $5,623.41 | $10,471.29 | |
BCBS
| Facility | $1,202.26 | $1,202.26 | $1,202.26 | |
Medica
| Facility | $691.83 | $1,148.15 | $6,456.54 | |
United
| Facility | $1,513.56 | $2,089.30 | $4,677.35 |