| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,897.00 | $6,483.00 | |
BCBS
| Facility | $412.80 | $1,541.29 | $2,700.74 | |
Medica
| Facility | $191.66 | $780.79 | $1,776.64 | |
United
| Facility | $966.00 | $2,499.00 | $4,486.00 |