| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,090.30 | $6,309.57 | |
BCBS
| Facility | $33.88 | $109.65 | $165.96 | |
Medica
| Facility | $112.20 | $194.98 | $1,949.84 | |
United
| Facility | $691.83 | $1,412.54 | $2,187.76 |