| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,600.00 | $10,439.00 | |
BCBS
| Facility | $488.84 | $560.73 | $603.87 | |
Medica
| Facility | $55.00 | $189.01 | $1,743.00 | |
United
| Facility | $525.00 | $1,353.00 | $4,219.00 |