| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $3,785.00 | $7,283.00 | |
BCBS
| Facility | $688.17 | $2,626.12 | $4,140.09 | |
Medica
| Facility | $622.50 | $832.01 | $9,251.00 | |
United
| Facility | $5,279.00 | $7,341.00 | $11,396.00 |