| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,630.27 | $6,606.93 | |
BCBS
| Facility | $2,754.23 | $4,365.16 | $7,079.46 | |
Medica
| Facility | $199.53 | $776.25 | $3,981.07 | |
United
| Facility | $891.25 | $3,311.31 | $6,025.60 |