| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.00 | $2,304.00 | $5,506.00 | |
BCBS
| Facility | $86.13 | $316.80 | $518.16 | |
Medica
| Facility | $333.19 | $890.00 | $2,595.58 | |
United
| Facility | $704.00 | $1,535.00 | $2,175.00 |