| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
BCBS
| Facility | $3,467.37 | $5,370.32 | $8,912.51 | |
Medica
| Facility | $724.44 | $3,890.45 | $12,589.25 | |
United
| Facility | $1,949.84 | $7,762.47 | $14,125.38 |