| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.50 | $2,260.00 | $6,060.00 | |
BCBS
| Facility | $552.79 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $263.20 | $419.74 | $1,873.00 | |
United
| Facility | $1,086.00 | $2,080.00 | $3,467.00 |