| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $981.78 | $2,727.00 | $6,483.00 | |
BCBS
| Facility | $587.35 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $501.90 | $628.90 | $2,086.00 | |
United
| Facility | $1,578.00 | $2,522.00 | $5,029.00 |