| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.10 | $2,652.00 | $7,500.00 | |
BCBS
| Facility | $3,675.93 | $5,798.03 | $9,194.66 | |
Medica
| Facility | $261.20 | $353.76 | $1,764.66 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |