| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.00 | $4,094.00 | $17,328.00 | |
BCBS
| Facility | $1,341.54 | $4,934.39 | $8,070.83 | |
Medica
| Facility | $358.19 | $638.23 | $110,892.00 | |
United
| Facility | $3,809.00 | $67,671.00 | $139,004.00 |