| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $3,383.45 | $5,336.68 | $8,463.04 | |
Medica
| Facility | $362.59 | $516.97 | $2,160.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |