| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $553.91 | $743.91 | $1,077.57 | |
Medica
| Facility | $103.07 | $509.30 | $2,202.78 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |