| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $801.84 | $2,788.00 | $6,329.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $394.01 | $520.48 | $6,063.00 | |
United
| Facility | $2,892.00 | $4,545.00 | $7,217.00 |