| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,531.00 | $6,329.00 | |
BCBS
| Facility | $587.35 | $2,283.06 | $3,616.69 | |
Medica
| Facility | $796.59 | $1,073.06 | $6,063.00 | |
United
| Facility | $2,766.54 | $3,981.00 | $7,217.00 |