| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,398.83 | $6,606.93 | |
BCBS
| Facility | $12,589.25 | $19,498.45 | $32,359.37 | |
Medica
| Facility | $245.47 | $2,754.23 | $11,481.54 | |
United
| Facility | $1,949.84 | $7,762.47 | $14,125.38 |