| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $3,878.46 | $6,117.46 | $9,735.10 | |
Medica
| Facility | $129.96 | $297.99 | $3,790.62 | |
United
| Facility | $558.51 | $1,760.00 | $3,790.62 |