| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $2,317.27 | $3,655.03 | $5,796.23 | |
Medica
| Facility | $184.49 | $455.28 | $2,485.92 | |
United
| Facility | $580.00 | $2,122.34 | $4,083.73 |