| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.12 | $3,498.00 | $10,439.00 | |
BCBS
| Facility | $614.00 | $799.20 | $841.26 | |
Medica
| Facility | $160.79 | $245.35 | $4,510.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |