| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,736.07 | $5,506.00 | |
BCBS
| Facility | $294.10 | $1,100.28 | $1,810.96 | |
Medica
| Facility | $78.08 | $106.82 | $1,573.00 | |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |