| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,458.38 | $5,551.00 | $16,900.00 | |
BCBS
| Facility | $9,309.98 | $14,714.99 | $23,429.85 | |
Medica
| Facility | $1,443.94 | $2,228.60 | $10,198.00 | |
United
| Facility | $1,280.00 | $5,524.00 | $9,232.95 |