| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.56 | $2,397.00 | $7,500.00 | |
BCBS
| Facility | $1,799.51 | $2,794.42 | $4,391.24 | |
Medica
| Facility | $139.00 | $190.39 | $1,883.00 | |
United
| Facility | $168.43 | $634.00 | $1,582.00 |