| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,612.00 | $7,500.00 | |
BCBS
| Facility | $1,114.98 | $1,497.40 | $2,169.03 | |
Medica
| Facility | $161.58 | $244.40 | $3,910.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |