| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $2,398.83 | $6,606.93 | |
BCBS
| Facility | $4,073.80 | $6,309.57 | $10,471.29 | |
Medica
| Facility | $407.38 | $3,890.45 | $9,332.54 | |
United
| Facility | $1,548.82 | $5,495.41 | $10,232.93 |