| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $5,450.57 | $8,614.95 | $13,717.10 | |
Medica
| Facility | $365.77 | $534.11 | $4,240.00 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |