| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $4,474.00 | $9,683.00 | |
BCBS
| Facility | $916.28 | $3,349.18 | $5,512.45 | |
Medica
| Facility | $190.89 | $365.28 | $1,960.00 | |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |