| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $830.45 | $3,126.40 | $5,113.62 | |
Medica
| Facility | $590.66 | $884.55 | $3,790.00 | |
United
| Facility | $2,381.00 | $3,132.00 | $5,838.00 |