| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,683.00 | $7,500.00 | |
BCBS
| Facility | $1,891.84 | $2,983.96 | $4,732.04 | |
Medica
| Facility | $157.43 | $239.41 | $1,582.00 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 |