| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $3,890.45 | $9,120.11 | |
BCBS
| Facility | $1,949.84 | $4,073.80 | $4,265.80 | |
Medica
| Facility | $380.19 | $1,348.96 | $26,302.68 | |
United
| Facility | $1,548.82 | $2,570.40 | $4,677.35 |