| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,218.00 | $8,400.00 | |
BCBS
| Facility | $1,161.26 | $1,559.55 | $2,259.06 | |
Medica
| Facility | $314.26 | $482.36 | $3,486.78 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |