| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $1,550.49 | $2,450.65 | $3,902.03 | |
Medica
| Facility | $124.31 | $243.89 | $1,541.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |