| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $3,683.00 | $7,500.00 | |
BCBS
| Facility | $1,962.42 | $3,095.30 | $4,908.60 | |
Medica
| Facility | $70.23 | $278.16 | $1,279.00 | |
United
| Facility | $375.00 | $1,325.00 | $2,637.00 |