| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,640.00 | $5,506.00 | |
BCBS
| Facility | $84.15 | $316.80 | $518.16 | |
Medica
| Facility | $136.88 | $810.01 | $1,644.32 | |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |