| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.00 | $1,367.00 | $5,506.00 | |
BCBS
| Facility | $830.40 | $3,300.84 | $5,432.89 | |
Medica
| Facility | $104.14 | $145.69 | $1,919.00 | |
United
| Facility | $716.00 | $1,535.00 | $2,175.00 |