| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $3,646.01 | $4,944.21 | $7,161.81 | |
Medica
| Facility | $195.04 | $871.04 | $1,701.24 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |