| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $2,353.71 | $3,655.52 | $5,721.35 | |
Medica
| Facility | $256.77 | $479.59 | $1,760.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |