| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.39 | $2,963.00 | $8,400.00 | |
BCBS
| Facility | $3,878.46 | $6,117.46 | $9,735.10 | |
Medica
| Facility | $148.18 | $255.96 | $1,582.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |