| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,021.00 | $8,400.00 | |
BCBS
| Facility | $3,937.22 | $6,114.03 | $9,607.77 | |
Medica
| Facility | $180.48 | $617.41 | $5,962.62 | |
United
| Facility | $884.00 | $3,363.00 | $6,167.00 |