| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $953.07 | $3,683.00 | $9,354.53 | |
BCBS
| Facility | $1,599.68 | $2,523.16 | $4,001.29 | |
Medica
| Facility | $210.38 | $863.05 | $2,852.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |