| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $777.50 | $3,281.00 | $8,604.00 | |
Aetna
| Facility | 52 | $144.16 | $198.61 | $1,056.43 |
BCBS
| Facility | $2,599.31 | $3,376.88 | $8,315.62 | |
Medica
| Facility | $229.21 | $1,285.56 | $3,125.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |