| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $3,145.00 | $8,400.00 | |
BCBS
| Facility | $3,383.45 | $5,336.68 | $8,463.04 | |
Medica
| Facility | $157.65 | $269.93 | $871.04 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 |