| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,576.00 | $8,400.00 | |
BCBS
| Facility | $735.02 | $1,161.74 | $1,849.78 | |
Medica
| Facility | $72.81 | $231.06 | $4,830.00 | |
United
| Facility | $575.00 | $1,760.00 | $3,790.62 |