| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.78 | $2,624.00 | $10,439.00 | |
BCBS
| Facility | $99.00 | $288.54 | $600.00 | |
Medica
| Facility | $118.68 | $244.01 | $4,510.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |