| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $2,963.00 | $8,400.00 | |
BCBS
| Facility | $2,317.27 | $3,681.34 | $5,796.23 | |
Medica
| Facility | $226.73 | $661.07 | $1,964.41 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |