| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,145.00 | $13,966.09 | |
BCBS
| Facility | $1,550.49 | $2,450.65 | $3,902.03 | |
Medica
| Facility | $159.91 | $505.60 | $5,962.62 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |