| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,612.00 | $7,500.00 | |
BCBS
| Facility | $1,489.71 | $2,349.69 | $3,726.21 | |
Medica
| Facility | $574.04 | $836.13 | $5,849.00 | |
United
| Facility | $1,157.00 | $4,054.00 | $7,077.94 |