| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $1,513.56 | $7,585.78 | |
BCBS
| Facility | $1,698.24 | $2,630.27 | $4,168.69 | |
Medica
| Facility | $131.83 | $501.19 | $2,570.40 | |
United
| Facility | $138.04 | $616.60 | $1,659.59 |