| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $2,398.83 | $6,606.93 | |
BCBS
| Facility | $3,467.37 | $5,370.32 | $8,912.51 | |
Medica
| Facility | $346.74 | $575.44 | $3,890.45 | |
United
| Facility | $575.44 | $2,187.76 | $4,073.80 |