| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.95 | $2,444.00 | $7,500.00 | |
BCBS
| Facility | $3,696.67 | $5,357.37 | $7,458.36 | |
Medica
| Facility | $423.15 | $589.54 | $2,160.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |