| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $462.15 | $5,683.00 | $10,241.86 | |
BCBS
| Facility | $1,096.00 | $1,926.30 | $2,551.19 | |
Medica
| Facility | $358.91 | $505.14 | $5,562.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |