| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $6,560.00 | $14,100.00 | |
BCBS
| Facility | $861.00 | $1,883.67 | $1,982.81 | |
Medica
| Facility | $553.65 | $944.86 | $6,496.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |