| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.00 | $3,615.95 | $12,600.00 | |
BCBS
| Facility | $5,550.80 | $8,619.71 | $13,545.28 | |
Medica
| Facility | $419.65 | $803.21 | $5,962.62 | |
United
| Facility | $884.00 | $3,317.00 | $6,167.00 |