| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $2,925.36 | $4,647.35 | $7,317.23 | |
Medica
| Facility | $210.87 | $770.87 | $3,390.00 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |