| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,923.00 | $7,500.00 | |
BCBS
| Facility | $3,937.22 | $6,114.03 | $9,607.77 | |
Medica
| Facility | $338.20 | $694.00 | $5,962.62 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |