| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $2,691.53 | $6,606.93 | |
BCBS
| Facility | $2,754.23 | $4,365.16 | $7,079.46 | |
Medica
| Facility | $245.47 | $380.19 | $3,981.07 | |
United
| Facility | $575.44 | $1,995.26 | $3,981.07 |