| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $3,617.00 | $7,467.00 | |
BCBS
| Facility | $294.10 | $1,148.72 | $1,810.96 | |
Medica
| Facility | $104.25 | $174.13 | $1,448.00 | |
United
| Facility | $704.00 | $1,535.00 | $2,326.00 |