| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $2,659.22 | $4,194.93 | $6,674.72 | |
Medica
| Facility | $55.97 | $87.83 | $1,470.67 | |
United
| Facility | $139.00 | $634.00 | $1,883.00 |