| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $4,570.88 | $10,471.29 | |
BCBS
| Facility | $4,073.80 | $4,265.80 | $4,265.80 | |
Medica
| Facility | $467.74 | $1,380.38 | $26,302.68 | |
United
| Facility | $1,548.82 | $2,570.40 | $4,677.35 |