| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $5,939.00 | $13,151.00 | |
BCBS
| Facility | $1,208.67 | $1,386.42 | $1,421.97 | |
Medica
| Facility | $897.33 | $1,663.00 | $26,542.00 | |
United
| Facility | $1,769.00 | $3,572.00 | $6,988.00 |