| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $4,164.27 | $6,581.89 | $10,479.96 | |
Medica
| Facility | $554.89 | $804.59 | $4,830.00 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |