| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,570.40 | $6,606.93 | |
BCBS
| Facility | $3,630.78 | $5,754.40 | $9,332.54 | |
Medica
| Facility | $75.86 | $147.91 | $1,862.09 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 |