| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $1,114.98 | $1,497.40 | $2,169.03 | |
Medica
| Facility | $147.46 | $221.55 | $4,000.00 | |
United
| Facility | $575.00 | $1,990.00 | $4,083.73 |