| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $14,450.00 | |
BCBS
| Facility | $2,534.60 | $3,559.75 | $5,923.18 | |
Medica
| Facility | $718.67 | $1,342.00 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |