| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,640.50 | $4,246.22 | $10,439.00 | |
BCBS
| Facility | $549.10 | $806.99 | $1,699.50 | |
Medica
| Facility | $55.00 | $781.91 | $5,766.00 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,988.00 |