| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $294.10 | $1,143.18 | $1,810.96 | |
Medica
| Facility | $129.97 | $165.04 | $1,448.00 | |
United
| Facility | $704.00 | $1,535.00 | $2,326.00 |