| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,511.00 | $4,919.00 | $12,600.00 | |
BCBS
| Facility | $677.00 | $933.93 | $1,966.87 | |
Medica
| Facility | $55.00 | $494.68 | $7,208.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |