| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $432.50 | $3,400.77 | $6,329.00 | |
BCBS
| Facility | $1,763.75 | $6,598.50 | $10,860.55 | |
Medica
| Facility | $1,065.26 | $1,533.68 | $3,790.00 | |
United
| Facility | $2,140.00 | $3,339.00 | $5,838.00 |