| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.53 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $150.84 | $288.10 | $1,973.00 | |
United
| Facility | $1,584.00 | $2,567.00 | $5,029.00 |