| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $938.50 | $2,788.00 | $6,483.00 | |
BCBS
| Facility | $587.35 | $2,283.06 | $3,616.69 | |
Medica
| Facility | $308.26 | $462.78 | $2,453.00 | |
United
| Facility | $1,584.00 | $2,567.00 | $5,105.00 |