| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $5,370.32 | $9,120.11 | |
BCBS
| Facility | $891.25 | $2,884.03 | $4,265.80 | |
Medica
| Facility | $263.03 | $398.11 | $5,128.61 | |
United
| Facility | $2,238.72 | $3,162.28 | $5,370.32 |