| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.00 | $2,444.00 | $7,500.00 | |
BCBS
| Facility | $2,750.40 | $4,334.39 | $6,811.20 | |
Medica
| Facility | $639.00 | $1,185.91 | $5,543.93 | |
United
| Facility | $942.00 | $3,869.00 | $6,041.11 |