| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,511.00 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $719.00 | $1,004.45 | $1,703.56 | |
Medica
| Facility | $274.85 | $460.74 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |