| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,102.25 | $3,055.00 | $6,329.00 | |
BCBS
| Facility | $1,341.54 | $4,934.39 | $8,070.83 | |
Medica
| Facility | $488.61 | $813.70 | $2,749.00 | |
United
| Facility | $1,068.00 | $1,958.00 | $3,268.00 |