| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.62 | $2,508.00 | $5,506.00 | |
BCBS
| Facility | $1,763.75 | $6,640.00 | $10,860.55 | |
Medica
| Facility | $147.49 | $252.55 | $1,438.00 | |
United
| Facility | $1,086.00 | $1,958.00 | $3,268.00 |