| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,582.00 | $2,933.00 | $6,483.00 | |
BCBS
| Facility | $438.60 | $1,640.88 | $2,700.74 | |
Medica
| Facility | $78.09 | $255.01 | $1,438.00 | |
United
| Facility | $1,068.00 | $1,711.00 | $3,268.00 |