| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $3,612.00 | $7,500.00 | |
BCBS
| Facility | $5,360.29 | $8,472.26 | $13,489.91 | |
Medica
| Facility | $139.00 | $199.80 | $1,676.40 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |