| 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 | $347.97 | $502.95 | $2,704.00 | |
United
| Facility | $352.00 | $1,279.00 | $2,637.00 |