| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $1,698.24 | $6,606.93 | |
BCBS
| Facility | $3,162.28 | $5,011.87 | $8,128.31 | |
Medica
| Facility | $151.36 | $281.84 | $1,071.52 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 |