| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $2,536.00 | $7,500.00 | |
BCBS
| Facility | $2,353.71 | $3,655.52 | $5,721.35 | |
Medica
| Facility | $242.57 | $473.74 | $1,760.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |