| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $2,925.36 | $4,614.14 | $7,317.23 | |
Medica
| Facility | $110.44 | $278.44 | $1,760.00 | |
United
| Facility | $575.00 | $1,760.00 | $4,012.00 |