| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,652.00 | $7,500.00 | |
BCBS
| Facility | $2,764.97 | $4,361.17 | $6,916.06 | |
Medica
| Facility | $92.20 | $428.90 | $1,990.00 | |
United
| Facility | $575.00 | $1,990.00 | $4,083.73 |