| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $685.65 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $1,041.20 | $1,534.38 | $2,492.37 | |
Medica
| Facility | $101.96 | $182.40 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,125.00 | $5,919.11 |