| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.00 | $2,771.00 | $6,305.00 | |
BCBS
| Facility | $632.79 | $2,362.71 | $4,140.09 | |
Medica
| Facility | $151.47 | $691.80 | $1,448.00 | |
United
| Facility | $285.00 | $1,424.00 | $2,057.00 |