| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $771.63 | $3,683.00 | $7,500.00 | |
BCBS
| Facility | $8,666.79 | $13,768.47 | $21,754.02 | |
Medica
| Facility | $206.75 | $694.47 | $1,676.40 | |
United
| Facility | $139.00 | $634.00 | $2,526.73 |