| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $4,897.79 | $8,511.38 | |
BCBS
| Facility | $3,890.45 | $6,025.60 | $9,772.37 | |
Medica
| Facility | $295.12 | $457.09 | $5,888.44 | |
United
| Facility | $891.25 | $3,311.31 | $6,025.60 |