| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $957.40 | $1,285.77 | $1,862.48 | |
Medica
| Facility | $59.97 | $176.66 | $2,072.00 | |
United
| Facility | $575.00 | $1,760.00 | $4,012.00 |