| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $3,868.30 | $6,114.08 | $9,735.10 | |
Medica
| Facility | $503.98 | $668.84 | $4,012.00 | |
United
| Facility | $498.00 | $1,928.00 | $3,790.62 |