| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,474.00 | $5,514.00 | $16,900.00 | |
BCBS
| Facility | $9,309.98 | $14,714.99 | $23,429.85 | |
Medica
| Facility | $1,505.27 | $2,325.04 | $10,198.00 | |
United
| Facility | $1,481.00 | $5,264.55 | $9,232.95 |