| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $2,290.87 | $5,623.41 | |
BCBS
| Facility | $416.87 | $1,318.26 | $1,995.26 | |
Medica
| Facility | $162.18 | $316.23 | $2,630.27 | |
United
| Facility | $602.56 | $1,513.56 | $3,235.94 |