| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $3,145.00 | $8,400.00 | |
BCBS
| Facility | $1,579.01 | $2,461.51 | $3,873.52 | |
Medica
| Facility | $210.37 | $665.61 | $5,962.62 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |