| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $1,489.71 | $2,349.69 | $3,739.22 | |
Medica
| Facility | $262.10 | $767.56 | $6,710.71 | |
United
| Facility | $1,091.00 | $4,054.00 | $7,077.94 |