| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $3,467.37 | $6,760.83 | |
BCBS
| Facility | $1,096.48 | $1,621.81 | $2,187.76 | |
Medica
| Facility | $257.04 | $407.38 | $3,981.07 | |
United
| Facility | $575.44 | $1,995.26 | $3,981.07 |