| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.54 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $5,374.38 | $8,476.95 | $13,489.91 | |
Medica
| Facility | $706.88 | $960.62 | $3,790.62 | |
United
| Facility | $558.51 | $1,760.00 | $3,790.62 |