| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $2,630.27 | $6,760.83 | |
BCBS
| Facility | $4,265.80 | $6,760.83 | $10,715.19 | |
Medica
| Facility | $389.05 | $602.56 | $4,168.69 | |
United
| Facility | $891.25 | $3,311.31 | $5,888.44 |