| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $3,686.67 | $5,815.76 | $9,253.70 | |
Medica
| Facility | $259.49 | $1,019.59 | $4,143.00 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |