| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $1,624.83 | $2,523.16 | $3,964.97 | |
Medica
| Facility | $140.25 | $808.51 | $3,390.00 | |
United
| Facility | $640.00 | $2,268.00 | $4,083.73 |