| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.00 | $3,742.00 | $12,600.00 | |
BCBS
| Facility | $1,114.98 | $1,497.40 | $2,169.03 | |
Medica
| Facility | $259.49 | $396.88 | $4,083.73 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |