| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $4,265.80 | $17,782.79 | |
BCBS
| Facility | $630.96 | $2,238.72 | $3,090.30 | |
Medica
| Facility | $380.19 | $1,698.24 | $134,896.29 | |
United
| Facility | $6,918.31 | $21,877.62 | $144,543.98 |