| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
BCBS
| Facility | $4,265.80 | $6,606.93 | $10,964.78 | |
Medica
| Facility | $398.11 | $602.56 | $3,630.78 | |
United
| Facility | $524.81 | $1,949.84 | $3,467.37 |