| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,570.40 | $6,606.93 | |
BCBS
| Facility | $1,412.54 | $2,187.76 | $3,548.13 | |
Medica
| Facility | $120.23 | $251.19 | $1,659.59 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 |