| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $3,890.45 | $7,943.28 | |
BCBS
| Facility | $1,659.59 | $4,365.16 | $7,943.28 | |
Medica
| Facility | $1,380.38 | $1,778.28 | $4,168.69 | |
United
| Facility | $831.76 | $2,089.30 | $5,248.07 |