| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $14,450.00 | |
BCBS
| Facility | $709.00 | $2,392.50 | $2,518.42 | |
Medica
| Facility | $1,139.89 | $1,972.00 | $12,199.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |