| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.00 | $3,569.00 | $10,439.00 | |
BCBS
| Facility | $627.00 | $735.27 | $773.97 | |
Medica
| Facility | $103.58 | $385.81 | $6,207.00 | |
United
| Facility | $525.00 | $1,341.00 | $3,106.88 |