| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $576.79 | $4,387.00 | $10,405.29 | |
BCBS
| Facility | $2,534.60 | $3,559.75 | $5,923.18 | |
Medica
| Facility | $299.97 | $471.39 | $5,562.00 | |
United
| Facility | $955.00 | $3,096.00 | $5,565.00 |