| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,515.80 | $2,897.00 | $6,483.00 | |
BCBS
| Facility | $412.80 | $1,541.29 | $2,700.74 | |
Medica
| Facility | $724.30 | $896.04 | $3,665.00 | |
United
| Facility | $845.00 | $3,205.00 | $5,133.00 |