| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $3,358.77 | $5,215.77 | $8,196.20 | |
Medica
| Facility | $123.15 | $211.31 | $4,232.60 | |
United
| Facility | $880.00 | $2,900.00 | $5,543.93 |