| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $1,962.42 | $3,095.30 | $4,908.60 | |
Medica
| Facility | $171.84 | $1,865.08 | $3,790.62 | |
United
| Facility | $575.00 | $1,760.00 | $4,012.00 |