| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.49 | $4,919.00 | $12,154.00 | |
BCBS
| Facility | $1,041.20 | $1,534.38 | $2,492.37 | |
Medica
| Facility | $179.69 | $301.14 | $5,562.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |