| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $4,175.22 | $6,585.53 | $10,443.50 | |
Medica
| Facility | $409.61 | $556.70 | $2,160.00 | |
United
| Facility | $575.00 | $1,788.05 | $4,012.00 |