| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,090.30 | $6,309.57 | |
BCBS
| Facility | $204.17 | $478.63 | $1,000.00 | |
Medica
| Facility | $109.65 | $154.88 | $2,398.83 | |
United
| Facility | $933.25 | $1,995.26 | $4,786.30 |