| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $845.25 | $3,131.00 | $8,604.00 | |
BCBS
| Facility | $657.87 | $773.97 | $2,464.15 | |
Medica
| Facility | $122.26 | $487.92 | $12,000.00 | |
United
| Facility | $525.00 | $1,353.00 | $4,219.00 |