| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,885.00 | $3,885.00 | $4,823.00 | |
BCBS
| Facility | $2,247.00 | $2,247.00 | $2,247.00 | |
Medica
| Facility | $500.00 | $986.00 | $1,736.00 | |
United
| Facility | $500.00 | $608.00 | $1,622.00 |