| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,128.61 | $9,772.37 | |
BCBS
| Facility | $1,659.59 | $5,370.32 | $7,943.28 | |
Medica
| Facility | $1,380.38 | $1,905.46 | $5,128.61 | |
United
| Facility | $1,348.96 | $2,290.87 | $5,495.41 |