| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.99 | $1,899.84 | $3,350.26 | |
BCBS
| Facility | $448.92 | $1,704.86 | $2,700.74 | |
Medica
| Facility | $143.63 | $2,056.00 | $4,486.00 | |
United
| Facility | $1,584.00 | $2,567.00 | $5,105.00 |