| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $1,599.68 | $2,523.16 | $4,001.29 | |
Medica
| Facility | $254.01 | $556.21 | $1,928.00 | |
United
| Facility | $575.00 | $1,760.00 | $4,012.00 |