| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
BCBS
| Facility | $535.00 | $3,940.16 | $4,147.54 | |
Medica
| Facility | $767.62 | $1,197.39 | $6,988.00 | |
United
| Facility | $1,779.00 | $3,946.00 | $6,988.00 |