| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,145.00 | $8,400.00 | |
BCBS
| Facility | $1,489.71 | $2,349.69 | $3,739.22 | |
Medica
| Facility | $256.47 | $424.65 | $1,883.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |