| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $3,890.45 | $12,589.25 | |
BCBS
| Facility | $5,248.07 | $8,317.64 | $13,182.57 | |
Medica
| Facility | $380.19 | $2,691.53 | $8,511.38 | |
United
| Facility | $1,230.27 | $4,265.80 | $8,317.64 |