| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $5,011.87 | $10,471.29 | |
BCBS
| Facility | $1,071.52 | $2,454.71 | $2,691.53 | |
Medica
| Facility | $407.38 | $1,348.96 | $26,302.68 | |
United
| Facility | $1,513.56 | $2,089.30 | $4,677.35 |