| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
BCBS
| Facility | $2,652.24 | $4,192.02 | $6,674.72 | |
Medica
| Facility | $85.82 | $133.25 | $2,562.00 | |
United
| Facility | $139.00 | $634.00 | $1,883.00 |