| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,683.00 | $7,500.00 | |
BCBS
| Facility | $3,675.93 | $5,798.03 | $9,194.66 | |
Medica
| Facility | $289.85 | $419.32 | $3,910.00 | |
United
| Facility | $498.00 | $1,889.52 | $4,012.00 |