| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,218.00 | $8,400.00 | |
BCBS
| Facility | $3,436.64 | $5,337.43 | $8,353.70 | |
Medica
| Facility | $222.35 | $348.70 | $871.04 | |
United
| Facility | $139.00 | $634.00 | $1,883.00 |