| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $3,576.00 | $7,500.00 | |
BCBS
| Facility | $9,444.76 | $15,004.39 | $23,706.76 | |
Medica
| Facility | $139.00 | $201.84 | $1,582.00 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 |