| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $2,454.71 | $6,606.93 | |
BCBS
| Facility | $2,570.40 | $4,073.80 | $6,606.93 | |
Medica
| Facility | $501.19 | $1,318.26 | $6,025.60 | |
United
| Facility | $489.78 | $1,949.84 | $6,025.60 |