| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,742.00 | $12,600.00 | |
BCBS
| Facility | $6,133.92 | $9,567.08 | $15,005.42 | |
Medica
| Facility | $695.62 | $1,018.17 | $4,083.73 | |
United
| Facility | $575.00 | $1,990.00 | $4,311.16 |