| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $2,398.83 | $6,606.93 | |
BCBS
| Facility | $2,754.23 | $4,265.80 | $7,079.46 | |
Medica
| Facility | $109.65 | $295.12 | $2,884.03 | |
United
| Facility | $575.44 | $1,995.26 | $3,981.07 |