| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
BCBS
| Facility | $199.00 | $264.82 | $440.23 | |
Medica
| Facility | $191.80 | $450.61 | $1,128.13 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |