| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $2,454.71 | $6,606.93 | |
BCBS
| Facility | $1,096.48 | $1,698.24 | $2,818.38 | |
Medica
| Facility | $109.65 | $812.83 | $3,890.45 | |
United
| Facility | $354.81 | $1,318.26 | $2,630.27 |