| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,162.00 | $2,771.00 | $6,329.00 | |
BCBS
| Facility | $632.79 | $2,362.71 | $4,140.09 | |
Medica
| Facility | $20.27 | $27.78 | $902.00 | |
United
| Facility | $285.00 | $1,424.00 | $2,057.00 |