| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.00 | $4,500.00 | $12,600.00 | |
BCBS
| Facility | $3,937.22 | $6,114.03 | $9,607.77 | |
Medica
| Facility | $326.38 | $694.00 | $5,962.62 | |
United
| Facility | $880.00 | $2,900.00 | $5,543.93 |