| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,671.00 | $4,521.00 | $7,960.15 | |
BCBS
| Facility | $672.35 | $2,515.38 | $4,140.09 | |
Medica
| Facility | $733.24 | $1,005.12 | $6,063.00 | |
United
| Facility | $2,912.00 | $4,545.00 | $7,217.00 |