| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $5,511.00 | $16,900.00 | |
BCBS
| Facility | $9,309.98 | $14,714.99 | $23,429.85 | |
Medica
| Facility | $886.00 | $1,469.66 | $8,804.00 | |
United
| Facility | $884.00 | $3,317.00 | $5,543.93 |