| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,778.28 | $6,606.93 | |
BCBS
| Facility | $1,122.02 | $1,737.80 | $2,818.38 | |
Medica
| Facility | $436.52 | $602.56 | $2,187.76 | |
United
| Facility | $138.04 | $616.60 | $1,659.59 |