| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $2,004.87 | $3,168.81 | $5,045.52 | |
Medica
| Facility | $198.77 | $600.48 | $3,421.85 | |
United
| Facility | $498.00 | $1,928.00 | $3,790.62 |