| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $2,652.24 | $4,192.02 | $6,674.72 | |
Medica
| Facility | $71.55 | $106.98 | $1,470.67 | |
United
| Facility | $155.00 | $727.00 | $1,615.00 |