| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $998.00 | $2,390.00 | $5,506.00 | |
BCBS
| Facility | $438.60 | $1,640.88 | $2,700.74 | |
Medica
| Facility | $161.13 | $309.38 | $1,868.00 | |
United
| Facility | $1,086.00 | $2,080.00 | $3,467.00 |