| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,961.00 | $9,079.00 | $13,817.00 | |
BCBS
| Facility | $301.00 | $332.50 | $476.00 | |
Medica
| Facility | $812.00 | $1,941.00 | $3,028.00 | |
United
| Facility | $787.00 | $1,293.00 | $2,399.00 |