| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,474.00 | $7,960.15 | |
BCBS
| Facility | $1,233.59 | $4,605.95 | $8,070.83 | |
Medica
| Facility | $758.32 | $1,004.84 | $2,166.00 | |
United
| Facility | $175.00 | $2,572.00 | $14,572.00 |