| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $984.00 | $3,437.00 | $7,467.00 | |
BCBS
| Facility | $672.35 | $2,531.19 | $4,140.09 | |
Medica
| Facility | $350.42 | $506.30 | $3,311.00 | |
United
| Facility | $2,252.00 | $3,592.00 | $5,546.00 |