| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $961.91 | $4,376.00 | $12,154.00 | |
BCBS
| Facility | $654.00 | $1,367.39 | $3,197.59 | |
Medica
| Facility | $799.64 | $1,257.19 | $6,239.00 | |
United
| Facility | $1,779.00 | $3,946.00 | $6,307.00 |