| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,398.83 | $6,606.93 | |
BCBS
| Facility | $1,862.09 | $2,884.03 | $4,677.35 | |
Medica
| Facility | $190.55 | $316.23 | $3,890.45 | |
United
| Facility | $575.44 | $2,089.30 | $4,073.80 |