| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,218.00 | $8,400.00 | |
BCBS
| Facility | $3,904.89 | $6,159.14 | $9,801.42 | |
Medica
| Facility | $249.52 | $446.31 | $4,830.00 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |