| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $2,630.27 | $6,760.83 | |
BCBS
| Facility | $3,630.78 | $5,754.40 | $9,332.54 | |
Medica
| Facility | $676.08 | $1,023.29 | $3,981.07 | |
United
| Facility | $575.44 | $1,995.26 | $3,981.07 |