| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $958.15 | $2,633.00 | $6,483.00 | |
BCBS
| Facility | $552.79 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $283.08 | $472.47 | $2,062.32 | |
United
| Facility | $1,086.00 | $2,080.00 | $3,467.00 |