| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,711.00 | $12,000.00 | $12,000.00 | |
BCBS
| Facility | $287.85 | $302.24 | $318.14 | |
Medica
| Facility | $13,209.00 | $13,209.00 | $30,614.00 | |
United
| Facility | $13,209.00 | $13,209.00 | $30,614.00 |