| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $1,783.52 | $2,813.12 | $4,461.10 | |
Medica
| Facility | $176.21 | $282.20 | $3,486.78 | |
United
| Facility | $575.00 | $1,928.00 | $3,790.62 |