| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $3,630.78 | $8,317.64 | |
BCBS
| Facility | $218.78 | $295.12 | $467.74 | |
Medica
| Facility | $54.95 | $1,584.89 | $6,309.57 | |
United
| Facility | $1,862.09 | $2,818.38 | $6,309.57 |