| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.00 | $3,742.00 | $12,600.00 | |
BCBS
| Facility | $2,652.24 | $4,192.02 | $6,674.72 | |
Medica
| Facility | $221.91 | $891.45 | $5,882.00 | |
United
| Facility | $1,157.00 | $3,858.00 | $7,077.94 |