| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424.00 | $4,638.00 | $8,077.00 | |
BCBS
| Facility | $3,460.88 | $5,374.34 | $8,445.39 | |
Medica
| Facility | $256.06 | $458.86 | $5,477.56 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |