| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $916.00 | $2,111.00 | $5,946.00 | |
BCBS
| Facility | $1,972.71 | $2,717.36 | $4,159.17 | |
Medica
| Facility | $218.64 | $318.60 | $659.34 | |
United
| Facility | $2,992.00 | $3,500.00 | $9,062.00 |