| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,218.00 | $8,400.00 | |
BCBS
| Facility | $5,600.34 | $5,932.48 | $7,493.52 | |
Medica
| Facility | $176.61 | $531.15 | $2,219.77 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |