| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,398.83 | $6,606.93 | |
BCBS
| Facility | $5,128.61 | $7,943.28 | $13,182.57 | |
Medica
| Facility | $251.19 | $1,445.44 | $4,570.88 | |
United
| Facility | $891.25 | $3,235.94 | $5,754.40 |