| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,145.00 | $8,400.00 | |
BCBS
| Facility | $5,464.88 | $8,620.91 | $13,717.10 | |
Medica
| Facility | $457.16 | $965.00 | $10,198.00 | |
United
| Facility | $1,481.00 | $5,407.00 | $9,232.95 |