| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,075.05 | $4,376.00 | $12,154.00 | |
BCBS
| Facility | $1,202.00 | $1,202.00 | $1,202.00 | |
Medica
| Facility | $587.98 | $1,316.20 | $26,542.00 | |
United
| Facility | $1,418.00 | $2,902.00 | $5,565.00 |