| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $719.00 | $2,633.00 | $6,483.00 | |
BCBS
| Facility | $276.80 | $1,033.50 | $1,810.96 | |
Medica
| Facility | $111.45 | $149.86 | $902.00 | |
United
| Facility | $285.00 | $1,424.00 | $2,057.00 |