| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
BCBS
| Facility | $220.00 | $309.29 | $651.39 | |
Medica
| Facility | $178.89 | $806.59 | $2,009.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 |