| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.80 | $3,650.00 | $7,562.14 | |
BCBS
| Facility | $1,233.59 | $4,605.95 | $8,070.83 | |
Medica
| Facility | $313.20 | $472.13 | $3,981.00 | |
United
| Facility | $1,800.00 | $4,398.00 | $7,217.00 |