| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $3,436.64 | $5,375.10 | $8,386.21 | |
Medica
| Facility | $258.66 | $408.22 | $1,725.54 | |
United
| Facility | $575.00 | $1,990.00 | $4,012.00 |