| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $788.75 | $3,979.85 | $13,200.00 | |
BCBS
| Facility | $5,360.29 | $8,472.26 | $13,489.91 | |
Medica
| Facility | $491.92 | $804.06 | $5,975.00 | |
United
| Facility | $1,157.00 | $4,054.00 | $7,077.94 |