| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $2,454.71 | $6,606.93 | |
BCBS
| Facility | $3,715.35 | $5,754.40 | $9,120.11 | |
Medica
| Facility | $125.89 | $1,862.09 | $6,456.54 | |
United
| Facility | $891.25 | $3,311.31 | $6,025.60 |