| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,965.00 | $4,844.00 | $9,895.00 | |
BCBS
| Facility | $206.19 | $758.40 | $1,240.46 | |
Medica
| Facility | $130.38 | $332.41 | $4,276.00 | |
United
| Facility | $1,424.00 | $3,269.00 | $6,416.00 |