| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $1,513.12 | $2,350.04 | $3,692.38 | |
Medica
| Facility | $119.09 | $226.78 | $1,582.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |