| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $821.54 | $3,612.00 | $8,604.29 | |
BCBS
| Facility | $13,405.80 | $21,144.87 | $33,649.15 | |
Medica
| Facility | $222.83 | $591.41 | $11,188.81 | |
United
| Facility | $100.00 | $1,541.00 | $11,649.00 |