| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.00 | $3,683.00 | $12,600.00 | |
BCBS
| Facility | $4,368.32 | $6,809.76 | $10,716.08 | |
Medica
| Facility | $352.03 | $880.00 | $7,271.65 | |
United
| Facility | $1,091.00 | $4,054.00 | $7,077.94 |