| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.00 | $1,979.70 | $9,133.00 | |
Aetna
| Facility | 52 | $39.28 | $54.27 | $98.13 |
BCBS
| Facility | $2,599.31 | $3,376.88 | $3,724.88 | |
Medica
| Facility | $62.64 | $133.47 | $550.00 | |
United
| Facility | $191.00 | $611.00 | $1,915.00 |