| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,021.00 | $8,400.00 | |
BCBS
| Facility | $3,358.77 | $5,215.77 | $8,196.20 | |
Medica
| Facility | $232.70 | $694.00 | $5,465.00 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |