| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $2,630.27 | $6,606.93 | |
BCBS
| Facility | $6,165.95 | $9,772.37 | $15,848.93 | |
Medica
| Facility | $758.58 | $1,148.15 | $5,495.41 | |
United
| Facility | $891.25 | $3,311.31 | $6,165.95 |