| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
BCBS
| Facility | $4,164.27 | $6,581.89 | $10,479.96 | |
Medica
| Facility | $221.20 | $394.97 | $2,562.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |