| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $2,570.40 | $6,606.93 | |
BCBS
| Facility | $3,162.28 | $4,897.79 | $7,762.47 | |
Medica
| Facility | $245.47 | $1,862.09 | $5,495.41 | |
United
| Facility | $891.25 | $3,235.94 | $5,754.40 |