| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.95 | $5,152.24 | $10,115.86 | |
BCBS
| Facility | $1,041.20 | $2,160.02 | $2,551.19 | |
Medica
| Facility | $295.47 | $420.87 | $5,565.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |