| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,570.40 | $6,606.93 | |
BCBS
| Facility | $8,912.51 | $13,803.84 | $22,387.21 | |
Medica
| Facility | $436.52 | $676.08 | $4,786.30 | |
United
| Facility | $891.25 | $3,311.31 | $6,025.60 |