| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $89.71 | $337.73 | $552.40 | |
Medica
| Facility | $427.97 | $583.29 | $3,093.00 | |
United
| Facility | $1,578.00 | $2,522.00 | $5,029.00 |