| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,508.00 | $7,500.00 | |
BCBS
| Facility | $539.17 | $850.56 | $1,353.37 | |
Medica
| Facility | $113.36 | $183.33 | $3,486.78 | |
United
| Facility | $498.00 | $1,928.00 | $3,790.62 |