| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $3,576.00 | $7,500.00 | |
BCBS
| Facility | $1,828.00 | $2,889.26 | $4,600.41 | |
Medica
| Facility | $467.96 | $751.16 | $4,311.16 | |
United
| Facility | $575.00 | $1,928.00 | $3,790.62 |