| 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 | $370.41 | $545.25 | $3,486.78 | |
United
| Facility | $575.00 | $1,928.00 | $3,790.62 |