| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $3,617.00 | $6,329.00 | |
BCBS
| Facility | $601.16 | $2,211.19 | $3,616.69 | |
Medica
| Facility | $762.59 | $1,358.79 | $4,466.00 | |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |