| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $568.32 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $2,010.14 | $3,170.57 | $5,027.97 | |
Medica
| Facility | $197.28 | $513.13 | $1,928.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |