| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $843.25 | $3,576.00 | $7,500.00 | |
BCBS
| Facility | $2,731.20 | $4,320.00 | $6,873.60 | |
Medica
| Facility | $752.60 | $1,363.35 | $5,415.32 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |