| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,218.00 | $8,400.00 | |
BCBS
| Facility | $4,175.22 | $6,585.53 | $10,443.50 | |
Medica
| Facility | $388.76 | $533.41 | $2,875.93 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |