| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $2,933.00 | $6,483.00 | |
BCBS
| Facility | $73.70 | $286.45 | $453.79 | |
Medica
| Facility | $136.72 | $241.55 | $1,448.00 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |