| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $7,585.78 | |
BCBS
| Facility | $4,466.84 | $7,079.46 | $11,481.54 | |
Medica
| Facility | $676.08 | $1,023.29 | $5,495.41 | |
United
| Facility | $891.25 | $3,311.31 | $6,025.60 |