| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $355.15 | $3,742.00 | $12,600.00 | |
BCBS
| Facility | $3,977.36 | $6,203.47 | $9,729.79 | |
Medica
| Facility | $188.15 | $376.87 | $5,543.93 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |