| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,260.00 | $4,521.00 | $9,901.00 | |
BCBS
| Facility | $2,107.14 | $7,750.40 | $12,676.75 | |
Medica
| Facility | $82.32 | $163.76 | $2,649.00 | |
United
| Facility | $1,068.00 | $1,958.00 | $3,268.00 |