| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,495.41 | $10,471.29 | |
BCBS
| Facility | $4,168.69 | $4,168.69 | $4,168.69 | |
Medica
| Facility | $54.95 | $2,089.30 | $10,000.00 | |
United
| Facility | $2,818.38 | $5,623.41 | $10,715.19 |