| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
BCBS
| Facility | $3,894.65 | $6,155.73 | $9,801.42 | |
Medica
| Facility | $250.16 | $369.75 | $4,240.00 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |