| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $3,675.93 | $5,798.03 | $9,194.66 | |
Medica
| Facility | $402.79 | $622.29 | $2,995.32 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |