| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $7,562.14 | |
BCBS
| Facility | $587.35 | $2,283.06 | $3,616.69 | |
Medica
| Facility | $519.92 | $647.97 | $4,199.00 | |
United
| Facility | $1,372.00 | $2,312.00 | $5,491.00 |