| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.25 | $3,684.00 | $12,600.00 | |
BCBS
| Facility | $5,343.05 | $8,329.28 | $13,107.25 | |
Medica
| Facility | $237.44 | $529.13 | $5,477.56 | |
United
| Facility | $884.00 | $2,875.93 | $5,543.93 |