| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $4,192.00 | $13,200.00 | |
BCBS
| Facility | $4,175.22 | $6,585.53 | $10,443.50 | |
Medica
| Facility | $912.27 | $1,395.24 | $5,558.80 | |
United
| Facility | $886.00 | $2,875.93 | $5,543.93 |