| 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 | $204.05 | $382.67 | $3,486.78 | |
United
| Facility | $575.00 | $1,928.00 | $3,790.62 |