| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,612.00 | $7,500.00 | |
BCBS
| Facility | $4,507.25 | $7,109.23 | $11,273.99 | |
Medica
| Facility | $402.66 | $592.58 | $3,486.78 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |