| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.19 | $3,612.00 | $12,600.00 | |
BCBS
| Facility | $5,374.38 | $8,476.95 | $13,489.91 | |
Medica
| Facility | $208.44 | $363.06 | $5,975.00 | |
United
| Facility | $1,091.00 | $4,054.00 | $7,077.94 |