| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $2,508.00 | $6,422.00 | |
BCBS
| Facility | $1,517.36 | $2,366.61 | $3,711.90 | |
Medica
| Facility | $120.42 | $488.00 | $3,586.95 | |
United
| Facility | $352.00 | $1,279.00 | $2,637.00 |