| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $219.30 | $852.43 | $1,350.37 | |
Medica
| Facility | $40.03 | $269.63 | $1,448.00 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |