| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.00 | $2,292.00 | $6,882.50 | |
BCBS
| Facility | $294.10 | $1,107.20 | $1,810.96 | |
Medica
| Facility | $141.26 | $201.72 | $1,409.00 | |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |