| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,265.00 | $5,460.00 | $7,681.00 | |
BCBS
| Facility | $2,247.00 | $2,247.00 | $2,247.00 | |
Medica
| Facility | $500.00 | $584.00 | $1,420.00 | |
United
| Facility | $500.00 | $580.00 | $1,415.00 |