| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $6,768.01 | $10,697.24 | $17,032.62 | |
Medica
| Facility | $77.36 | $121.13 | $2,237.00 | |
United
| Facility | $352.00 | $1,279.00 | $2,637.00 |