| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.30 | $3,683.00 | $12,600.00 | |
BCBS
| Facility | $3,733.72 | $5,798.82 | $9,075.87 | |
Medica
| Facility | $124.06 | $324.88 | $4,240.00 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |