| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
BCBS
| Facility | $11,977.92 | $18,931.83 | $30,144.09 | |
Medica
| Facility | $698.54 | $1,150.97 | $7,992.00 | |
United
| Facility | $1,157.00 | $3,858.00 | $7,077.94 |