| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
BCBS
| Facility | $1,412.54 | $2,187.76 | $3,548.13 | |
Medica
| Facility | $575.44 | $870.96 | $6,309.57 | |
United
| Facility | $1,230.27 | $4,265.80 | $8,317.64 |