| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,090.30 | $6,309.57 | |
BCBS
| Facility | $831.76 | $2,691.53 | $3,981.07 | |
Medica
| Facility | $537.03 | $794.33 | $1,995.26 | |
United
| Facility | $691.83 | $1,412.54 | $2,187.76 |