| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $2,925.36 | $4,614.14 | $7,317.23 | |
Medica
| Facility | $158.16 | $832.36 | $2,004.43 | |
United
| Facility | $498.00 | $1,760.00 | $4,012.00 |