| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $1,660.00 | $6,198.03 | $10,860.55 | |
Medica
| Facility | $1,935.32 | $2,424.96 | $4,471.13 | |
United
| Facility | $175.00 | $2,572.00 | $14,572.00 |