| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,890.45 | $9,772.37 | |
BCBS
| Facility | $8,912.51 | $13,803.84 | $22,387.21 | |
Medica
| Facility | $1,412.54 | $4,073.80 | $10,964.78 | |
United
| Facility | $1,621.81 | $5,754.40 | $10,715.19 |