| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
BCBS
| Facility | $5,450.57 | $8,614.95 | $13,717.10 | |
Medica
| Facility | $193.50 | $546.00 | $4,830.00 | |
United
| Facility | $884.00 | $2,942.55 | $5,543.93 |