| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $3,686.67 | $5,815.76 | $9,253.70 | |
Medica
| Facility | $95.68 | $658.35 | $2,974.00 | |
United
| Facility | $575.00 | $2,072.00 | $4,083.73 |