| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $3,981.07 | $13,182.57 | |
BCBS
| Facility | $6,165.95 | $9,772.37 | $15,488.17 | |
Medica
| Facility | $575.44 | $2,691.53 | $8,511.38 | |
United
| Facility | $1,230.27 | $4,265.80 | $8,317.64 |