| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $2,736.07 | $6,483.00 | |
BCBS
| Facility | $294.10 | $1,100.28 | $1,810.96 | |
Medica
| Facility | $64.79 | $97.70 | $1,013.00 | |
United
| Facility | $683.00 | $1,423.00 | $2,114.00 |