| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.00 | $3,684.00 | $12,600.00 | |
BCBS
| Facility | $3,994.68 | $6,300.77 | $9,991.92 | |
Medica
| Facility | $363.17 | $556.38 | $5,558.80 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |