| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $5,511.00 | $16,900.00 | |
BCBS
| Facility | $19,149.64 | $30,204.58 | $48,066.43 | |
Medica
| Facility | $561.63 | $6,121.00 | $27,619.77 | |
United
| Facility | $1,960.00 | $11,829.54 | $27,810.86 |