| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.25 | $2,727.00 | $6,329.00 | |
BCBS
| Facility | $294.10 | $1,100.28 | $1,810.96 | |
Medica
| Facility | $49.83 | $77.92 | $1,013.00 | |
United
| Facility | $631.00 | $1,535.00 | $2,175.00 |